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Case Reports in Hematology
Volume 2013, Article ID 452730, 3 pages
http://dx.doi.org/10.1155/2013/452730
Case Report

Morganella morganii Pericarditis in a Patient with Multiple Myeloma

Department of Hematology, Osaka City General Hospital, 2-13-22 Miyakojima-hondori, Miyakojima-ku, Osaka 534-0021, Japan

Received 1 July 2013; Accepted 12 August 2013

Academic Editors: E. Arellano-Rodrigo, N. Hamerschlak, K. Konstantopoulos, and R. Lowenthal

Copyright © 2013 Takafumi Nakao 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.

Abstract

Purulent pericarditis caused by Morganella morganii is extremely rare. We report herein a case of a 61-year-old man who presented with chest pain and dyspnea fourteen days after chemotherapy for multiple myeloma. Echocardiogram and computed tomography revealed a massive pericardial effusion and associated cardiac tamponade. Pericardiocentesis was performed. Pericardial fluid was found to be purulent, and Morganella morganii was isolated from the fluid. The patient was successfully treated with antibiotic therapy and surgical drainage of the fluid. Morganella morganii should be considered a possible pathogen when immunocompromised patients develop purulent pericarditis.