Acute purulent pericarditis secondary to community-acquired streptococcus pneumonia: A case report

Figure 1 Chest X-ray showing bilateral pleural calcifications and left greater than right apical scarring/posttreatment related changes. There is also increased focal density within the left lower lung base, suggestive of consolidation.

Figure 2  Electrocardiogram showing sinus tachycardia with short PR intervals and diffuse ST-elevations (green arrows in lead II).

Figure 3 Parasternal long axis beside cardiac point-of-care ultrasound showing a moderate pericardial effusion (orange arrow) without evidence of right ventricle or right atrium compression. See the video of the point-of-care ultrasound in the emergency department and the official echocardiogram done inpatient.

Figure 4  Two 50 mL syringes showing yellow purulent fluid immediately after pericardiocentesis.