Cardiac Tamponade from Purulent Pericarditis due to Cutibacterium acnes

Abstract EN

Purulent pericarditis is a potentially fatal disease with high mortality rates if untreated.

Cutibacterium acnes (formerly Propionibacterium acnes) is an anaerobic bacteria that is ubiquitous in skin flora and is commonly thought of as a culture contaminant; however, it does have pathogenic potential.

We present a case of purulent pericarditis secondary to C.

acnes leading to cardiac tamponade.

Initial stabilization and diagnosis were made via pericardiocentesis; afterward the patient underwent a pericardial window.

Due to a severe penicillin allergy, he was successfully treated with a 14-day course of vancomycin.

To our knowledge, this represents only the third published case of purulent pericarditis with cardiac tamponade caused by C.

acnes and the first case treated with a 14-day course of vancomycin.