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Infectious Pericarditis
John P. Lichtenberger, III, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Pyopericardium, if bacterial
            • Definitions

              • Pericarditis due to microbial agent

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Echocardiographic Findings

                      • Angiographic Findings

                        • Nuclear Medicine Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Gross Pathologic & Surgical Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Kligerman S: Imaging of pericardial disease. Radiol Clin North Am. 57(1):179-99, 2019
                                            2. Murillo H et al: Infectious diseases of the heart: pathophysiology, clinical and imaging overview. Radiographics. 36(4):963-83, 2016
                                            3. Mehrzad R et al: Pericardial involvement in diseases of the heart and other contiguous structures: part II: pericardial involvement in noncardiac contiguous disorders. Cardiology. 121(3):177-83, 2012
                                            4. James OG et al: Utility of FDG PET/CT in inflammatory cardiovascular disease. Radiographics. 31(5):1271-86, 2011
                                            5. Verhaert D et al: The role of multimodality imaging in the management of pericardial disease. Circ Cardiovasc Imaging. 3(3):333-43, 2010
                                            6. Yared K et al: Multimodality imaging of pericardial diseases. JACC Cardiovasc Imaging. 3(6):650-60, 2010
                                            7. Bogaert J et al: Cardiovascular magnetic resonance in pericardial diseases. J Cardiovasc Magn Reson. 11:14, 2009
                                            8. Demmler GJ: Infectious pericarditis in children. Pediatr Infect Dis J. 25(2):165-6, 2006
                                            9. Ha JW et al: Images in cardiovascular medicine. Assessment of pericardial inflammation in a patient with tuberculous effusive constrictive pericarditis with 18F-2-deoxyglucose positron emission tomography. Circulation. 113(1):e4-5, 2006
                                            10. Abbara S et al: Pericardial and myocardial disease. In Miller SW: Cardiac Imaging: The Requisites. Philadelphia: Elsevier Mosby. 245-83, 2005
                                            11. Pankuweit S et al: Bacterial pericarditis: diagnosis and management. Am J Cardiovasc Drugs. 5(2):103-12, 2005
                                            12. Kirchhoff LV et al: Parasitic diseases of the heart. Front Biosci. 9:706-23, 2004
                                            13. Ross AM et al: Acute pericarditis. Evaluation and treatment of infectious and other causes. Postgrad Med. 115(3):67-70, 73-5, 2004
                                            14. Sagristà-Sauleda J et al: Effusive-constrictive pericarditis. N Engl J Med. 350(5):469-75, 2004
                                            15. Troughton RW et al: Pericarditis. Lancet. 363(9410):717-27, 2004
                                            16. Losik SB et al: Chemotherapy-induced pericarditis on F-18 FDG positron emission tomography scan. Clin Nucl Med. 28(11):913-5, 2003
                                            17. Goyle KK et al: Diagnosing pericarditis. Am Fam Physician. 66(9):1695-702, 2002
                                            18. Tsai WC et al: Morganella morganii causing solitary liver abscess complicated by pyopericardium and left pleural effusion in a nondiabetic patient. J Microbiol Immunol Infect. 35(3):191-4, 2002
                                            19. Dhir V et al: Intrapericardial teratoma masquerading as pyopericardium. Indian J Chest Dis Allied Sci. 43(2):111-3, 2001
                                            20. Spodick DH: The Pericardium: A Comprehensive Textbook. New York: Mercel Dekker, 1997
                                            21. Ku CS et al: Spontaneous contrast in the pericardial sac caused by gas-forming organisms. J Am Soc Echocardiogr. 4(1):67-8, 1991
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Pyopericardium, if bacterial
                                                      • Definitions

                                                        • Pericarditis due to microbial agent

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Echocardiographic Findings

                                                                • Angiographic Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Kligerman S: Imaging of pericardial disease. Radiol Clin North Am. 57(1):179-99, 2019
                                                                                      2. Murillo H et al: Infectious diseases of the heart: pathophysiology, clinical and imaging overview. Radiographics. 36(4):963-83, 2016
                                                                                      3. Mehrzad R et al: Pericardial involvement in diseases of the heart and other contiguous structures: part II: pericardial involvement in noncardiac contiguous disorders. Cardiology. 121(3):177-83, 2012
                                                                                      4. James OG et al: Utility of FDG PET/CT in inflammatory cardiovascular disease. Radiographics. 31(5):1271-86, 2011
                                                                                      5. Verhaert D et al: The role of multimodality imaging in the management of pericardial disease. Circ Cardiovasc Imaging. 3(3):333-43, 2010
                                                                                      6. Yared K et al: Multimodality imaging of pericardial diseases. JACC Cardiovasc Imaging. 3(6):650-60, 2010
                                                                                      7. Bogaert J et al: Cardiovascular magnetic resonance in pericardial diseases. J Cardiovasc Magn Reson. 11:14, 2009
                                                                                      8. Demmler GJ: Infectious pericarditis in children. Pediatr Infect Dis J. 25(2):165-6, 2006
                                                                                      9. Ha JW et al: Images in cardiovascular medicine. Assessment of pericardial inflammation in a patient with tuberculous effusive constrictive pericarditis with 18F-2-deoxyglucose positron emission tomography. Circulation. 113(1):e4-5, 2006
                                                                                      10. Abbara S et al: Pericardial and myocardial disease. In Miller SW: Cardiac Imaging: The Requisites. Philadelphia: Elsevier Mosby. 245-83, 2005
                                                                                      11. Pankuweit S et al: Bacterial pericarditis: diagnosis and management. Am J Cardiovasc Drugs. 5(2):103-12, 2005
                                                                                      12. Kirchhoff LV et al: Parasitic diseases of the heart. Front Biosci. 9:706-23, 2004
                                                                                      13. Ross AM et al: Acute pericarditis. Evaluation and treatment of infectious and other causes. Postgrad Med. 115(3):67-70, 73-5, 2004
                                                                                      14. Sagristà-Sauleda J et al: Effusive-constrictive pericarditis. N Engl J Med. 350(5):469-75, 2004
                                                                                      15. Troughton RW et al: Pericarditis. Lancet. 363(9410):717-27, 2004
                                                                                      16. Losik SB et al: Chemotherapy-induced pericarditis on F-18 FDG positron emission tomography scan. Clin Nucl Med. 28(11):913-5, 2003
                                                                                      17. Goyle KK et al: Diagnosing pericarditis. Am Fam Physician. 66(9):1695-702, 2002
                                                                                      18. Tsai WC et al: Morganella morganii causing solitary liver abscess complicated by pyopericardium and left pleural effusion in a nondiabetic patient. J Microbiol Immunol Infect. 35(3):191-4, 2002
                                                                                      19. Dhir V et al: Intrapericardial teratoma masquerading as pyopericardium. Indian J Chest Dis Allied Sci. 43(2):111-3, 2001
                                                                                      20. Spodick DH: The Pericardium: A Comprehensive Textbook. New York: Mercel Dekker, 1997
                                                                                      21. Ku CS et al: Spontaneous contrast in the pericardial sac caused by gas-forming organisms. J Am Soc Echocardiogr. 4(1):67-8, 1991