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Staphylococcus aureus Pericarditis Masquerading as Anterior Mediastinal Mass*: Mediastinal Mass From Pericarditis

Jonathan O. Nwiloh, MD; Patrick A. Egbe, MD; Albert T. Tagoe, MD; Lynn W. Weaver, MD
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*From the Atlanta Heart Associates (Dr. Egbe), and the Morehouse School of Medicine (Drs. Nwiloh, Tagoe, and Weaver), Atlanta, Georgia.

Correspondence to: Jonathan O. Nwiloh, Department of Surgery, Morehouse School of Medicine, 721 Westview Dr, SW, Atlanta, GA 30310



Chest. 2000;118(6):1832-1833. doi:10.1378/chest.118.6.1832
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Pseudomediastinal mass as a result of bacterial pericarditis is a rare clinical presentation. We report one such case in a patient with end-stage renal disease receiving hemodialysis, who presented primarily with manifestations of right heart compression due to a large encapsulated pericardial abscess and, surprisingly, with no overt signs of sepsis. Surgical drainage, pericardiectomy, and antibiotic therapy led to a successful outcome.

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