Simultaneous purulent pericarditis and acute epiglottitis from Haemophilus influenzae in an immunocompetent adult: a case report.
Aaron Koppel, Daniel Dexeus, Abbey Wolf
✦ AI-curated · Sources linked
Case in brief
A 70-year-old female presented to the emergency department with a sore throat and dyspnea, diagnosed with epiglottitis. She rapidly deteriorated, developing shock and acute respiratory failure. A point-of-care ultrasound revealed a pericardial effusion with tamponade. Emergent pericardiocentesis yielded purulent fluid, and blood cultures confirmed Haemophilus influenzae infection.
Diagnostic / clinical pearl
Clinicians should be aware that simultaneous purulent pericarditis and epiglottitis can occur in patients with Haemophilus influenzae infection, necessitating prompt recognition and management.
Why it matters
This case highlights the potential for severe complications from Haemophilus influenzae, emphasizing the need for vigilance in diagnosing and treating upper respiratory infections.