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Case Reports in Cardiology
Volume 2016, Article ID 1297869, 3 pages
Case Report

A Rare Case of Primary Meningococcal Myopericarditis in a 71-Year-Old Male

1Department of Cardiology, Tergooi Ziekenhuis, Blaricum, Netherlands
2Heart Center, Department of Cardiology, Academic Medical Center, Amsterdam, Netherlands
3Heart Center, Department of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, Netherlands

Received 11 July 2016; Revised 31 October 2016; Accepted 8 November 2016

Academic Editor: Kjell Nikus

Copyright © 2016 Odilia I. Woudstra et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We describe a case of primary meningococcal C pericarditis with myocardial involvement in a 71-year-old male that is thus far the oldest patient with isolated meningococcal pericardial disease and only the third patient with primary meningococcal myopericarditis described in English literature. Our patient was successfully treated by full sternotomy and surgical drainage combined with intravenous ceftriaxone. Mild symptoms unresponsive to anti-inflammatory treatment and leukocytosis may guide clinicians towards the correct diagnosis. It is important to recognize this cause of pericarditis as the relatively mild clinical presentation may rapidly progress into tamponade and right-sided heart failure.