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Streptococcus pneumoniae purulent pericarditis secondary to influenza A infection and pneumococcal pneumonia in an immunocompetent woman
  1. Elaine Houlihan1,
  2. Raymond McLoughlin2 and
  3. Ruth Waldron1
  1. 1Department of Microbiology, University Hospital Galway, Galway, Ireland
  2. 2Radiology, University Hospital Galway, Galway, Ireland
  1. Correspondence to Dr Elaine Houlihan; elaineb.houlihan{at}


A 44-year-old previously well woman presented with features of respiratory sepsis including a productive cough and fevers, with a recent preceding influenza-like illness. She was diagnosed with community-acquired pneumonia on chest radiograph, influenza infection via nasopharyngeal swab and Streptococcus pneumoniae bloodstream infection with associated purulent pericarditis. She was managed with pericardial drainage and concurrent treatment with antibiotics and made an excellent recovery. This case highlights the complications of both influenza and S. pneumoniae infections, and the importance of prevention via vaccination.

  • infectious diseases
  • pneumonia (infectious disease)
  • pneumonia (respiratory medicine)
  • pericardial disease
  • immunological products and vaccines

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  • Contributors EH collected information and wrote the case report. RM advised on the presentation and reporting of the radiology. RW and RM contributed to revising the manuscript and provided final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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