Case Presentation: A 68 year old caucasian female presented to the emergency department with 1 week of fever, chest pain, and dyspnea. On exam, she appeared cachectic and toxic . Her temperature was 101F, heart rate was 124/min, and she was in Atrial fibrillation. Her BP initially was 100/66, and respiratory rate was 25/min. Pulsus [...]

Case Presentation: Purulent pericarditis is rare in the post-antibiotic era. Even rarer is purulent pericarditis caused by Streptococcus Constellatus causing purulent pericarditis in an immunocompetent patient. Here we present a case of an immunocompetent patient who acquired this infection from an unknown source and deteriorated rapidly in spite of optimal medical therapy.A 68-year-old female presented [...]