A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old Male

We describe a case of primary meningococcal C pericarditis with myocardial involvement in a 71-year-old male that is thus far the oldest patient with isolated meningococcal pericardial disease and only the third patient with primary meningococcal myopericarditis described in English literature. Our...

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Main Authors: Odilia I. Woudstra, Gerard J. J. Boink, Jacobus A. Winkelman, Ron van Stralen
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2016/1297869
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author Odilia I. Woudstra
Gerard J. J. Boink
Jacobus A. Winkelman
Ron van Stralen
author_facet Odilia I. Woudstra
Gerard J. J. Boink
Jacobus A. Winkelman
Ron van Stralen
author_sort Odilia I. Woudstra
collection DOAJ
description We describe a case of primary meningococcal C pericarditis with myocardial involvement in a 71-year-old male that is thus far the oldest patient with isolated meningococcal pericardial disease and only the third patient with primary meningococcal myopericarditis described in English literature. Our patient was successfully treated by full sternotomy and surgical drainage combined with intravenous ceftriaxone. Mild symptoms unresponsive to anti-inflammatory treatment and leukocytosis may guide clinicians towards the correct diagnosis. It is important to recognize this cause of pericarditis as the relatively mild clinical presentation may rapidly progress into tamponade and right-sided heart failure.
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spelling doaj.art-0855894857d84e1fb030eb024bdc253f2022-12-22T03:57:08ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/12978691297869A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old MaleOdilia I. Woudstra0Gerard J. J. Boink1Jacobus A. Winkelman2Ron van Stralen3Department of Cardiology, Tergooi Ziekenhuis, Blaricum, NetherlandsDepartment of Cardiology, Tergooi Ziekenhuis, Blaricum, NetherlandsHeart Center, Department of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, NetherlandsDepartment of Cardiology, Tergooi Ziekenhuis, Blaricum, NetherlandsWe describe a case of primary meningococcal C pericarditis with myocardial involvement in a 71-year-old male that is thus far the oldest patient with isolated meningococcal pericardial disease and only the third patient with primary meningococcal myopericarditis described in English literature. Our patient was successfully treated by full sternotomy and surgical drainage combined with intravenous ceftriaxone. Mild symptoms unresponsive to anti-inflammatory treatment and leukocytosis may guide clinicians towards the correct diagnosis. It is important to recognize this cause of pericarditis as the relatively mild clinical presentation may rapidly progress into tamponade and right-sided heart failure.http://dx.doi.org/10.1155/2016/1297869
spellingShingle Odilia I. Woudstra
Gerard J. J. Boink
Jacobus A. Winkelman
Ron van Stralen
A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old Male
Case Reports in Cardiology
title A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old Male
title_full A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old Male
title_fullStr A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old Male
title_full_unstemmed A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old Male
title_short A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old Male
title_sort rare case of primary meningococcal myopericarditis in a 71 year old male
url http://dx.doi.org/10.1155/2016/1297869
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