Tamponade revealing purulent pericarditis caused by Klebsiella pneumoniae and Escherichia coli. Clinical cure by drainage and Antibiotic therapy. Sikasso (Mali)

The authors report the observation of a 52-year-old Malian patient living in Sikasso (Mali), hospitalized urgently for febrile condition with arterial hypotension. The diagnosis of tamponade is made by echocardiography. Drainage of the pericardial effusion quickly improves the hemodynamic status and reveals purulent fluid. Microbiological analysis of the liquid identifies 2 different, associated pathogenic bacteria: Escherichia coli and Klebsiella pneumoniæ. Treatment with Imipenem (2 g/day by venous infusion) for 21 days leads to healing. Thirty-six months later the patient is in a stable state of clinical recovery. The authors did not find in the literature any purulent pericarditis with the 2 bacteria identified here, associated.