TitleGonococcal Pericarditis with Tamponade in a Patient with Systemic Lupus Erythematosus
AuthorsCoe M. D., Hamer D. H., Levy C. S., Milner M. R., Nam M. H., Barth W. F.
PublicationArthritis Rheum. 1990 Sep; 33(9):1438-41.
AbstractPericarditis is one of the most frequent manifestations of systemic lupus erythematosus; however, purulent pericarditis and tamponade are rare. We describe a patient with systemic lupus erythematosus and culture-proven gonococcal arthritis who developed purulent pericarditis with intracellular gram-negative diplococci. Evidence of tamponade was seen on echocardiography. There has not been a reported case of Neisseria gonorrhoeae in pericardial fluid or tissue since the introduction of antibiotics.