       Document 0482
 DOCN  M9440482
 TI    Staphylococcus aureus pericarditis in HIV-infected patients.
 DT    9404
 AU    Decker CF; Tuazon CU; Division of Infectious Diseases, National Naval
       Medical Center,; Bethesda, Md.
 SO    Chest. 1994 Feb;105(2):615-6. Unique Identifier : AIDSLINE MED/94139437
 AB    Serious infections caused by Staphylococcus aureus in HIV-infected
       patients have been reported. Contributing factors in the development of
       invasive S aureus infections include a high rate of skin and nasal
       colonization, frequent dermatologic disease, and the use of intravenous
       catheters. The authors report three cases of S aureus pericarditis in
       HIV-infected patients. While cases of viral, mycobacterial, and
       malignant pericardial effusions in HIV-infected patients have been
       reported, a review of the literature disclosed only three cases of
       bacterial pericarditis. Despite appropriate antibiotic therapy and
       drainage, a patient's condition may abruptly deteriorate and progress to
       tamponade. Early recognition of bacteremia and pericarditis and
       monitoring for cardiac tamponade, along with aggressive treatment, can
       result in a favorable outcome, but mortality remains high, particularly
       when S aureus is the causative agent.
 DE    Adult  Bacteremia/MICROBIOLOGY  Case Report  Fatal Outcome  Female
       Human  HIV Infections/*COMPLICATIONS  Male  Pericardial
       Effusion/MICROBIOLOGY  Pericarditis/*COMPLICATIONS/*MICROBIOLOGY
       Pleural Effusion/MICROBIOLOGY  Staphylococcal Infections/*COMPLICATIONS
       Staphylococcus aureus  JOURNAL ARTICLE  REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

