Review Article

Cardiac Tamponade Caused by Cutibacterium acnes: An Updated and Comprehensive Review of the Literature

Table 1

Summary characteristics of patients with pericarditis caused by Cutibacterium acnes.

Author (year)Sex, ageMedical historyDiagnostic delayEchocardiography resultsMedical treatment, durationSurgical treatmentOutcome

Iseki (1998) [9]M, 62Hepatitis B, tooth decay3 monthsConstrictive pericarditisNoneTotal pericardiectomyResolved

Parikh (2009) [10]F, 46Hepatitis C, tooth decay, substance abuseNATamponadePen G-7 wPericardial windowResolved

Mesado et al. (2013) [11]M, 55Respiratory tract infection2 monthsConstrictive pericarditisCef + AC: 1 m;
Amox + steroids: 6 m
Subtotal pericardiectomy1 relapse, resolved in 1 year
M, 26Dental caries2 weeksTamponadeAC: 6 m;
Dox: 2 m
Steroids: 3 m
Pericardial window surgical drainage1 relapse, resolved in 21m
M, 31Dental infection9 monthsConstrictive pericarditisPen G + Amox: 10 m;
Mox: 8 m;
Steroids + NSAIDs + colchicine:10 m
Subtotal pericardiectomy, patched epicardiectomyResolved at 3y
M, 72NA20 monthsPericardial thickeningCef: 2 w;
Minocycline: 2 m
Total pericardiectomyResolved
F, 38Respiratory tract infection1 monthConstrictive pericarditisCef + deptomycin: 2 w;
Dox: 6 m
Subxiphoid pericardial drainage2 relapses

Cruz et al. (2015) [12]M, 61Coronary artery disease5 monthsConstrictive pericarditisAmox: 3 w;
PenG + colchicine + Dox: 6 w
None1 relapse, resolved in 10w

Jensen (2017)M, 75Hypertension, heart failure2 monthsConcentric pericarditisPen G: 4 w; AC + NSAIDs: 12 wSubtotal pericardiectomyResolved

Farhat (2018) [2]M, 71NA3 weeksTamponadeVancomycin: 2 wSubxiphoid pericardial drainageResolved

Arabi (2019)M, 20ASD2 weeksTamponadePen G: 3 w
Amox: 3 w
NoneResolved

Amox: amoxicillin; AC : amoxicillin-clavulanic acid; ASD : atrial septal defect; Cef: ceftriaxone; Dox: doxycycline; Mox: moxifloxacin; NA : not available; NSAIDs: nonsteroidal anti-inflammatory agents; Pen: penicillin.