Clinical microbiological case: cardiac tamponade due to hemorrhagic pericarditis in a non-immunocompromised woman from south-eastern United States  A. Safdar, S.H. Humphery, S.A. Harding, T.P. Close  Clinical Microbiology and Infection  Volume 8, Issue 4, Pages 248-251 (April 2002) DOI: 10.1046/j.1469-0691.2002.00420.x Copyright © 2002 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 1 Computed tomography scan of chest 5 days after the initial pericardiocentesis, showing an interval increase in the pericardial fluid. The attenuation values of fluid were 30-40 Houndsfield units, which was consistent with hemorrhagic or proteinaceous effusion. Clinical Microbiology and Infection 2002 8, 248-251DOI: (10.1046/j.1469-0691.2002.00420.x) Copyright © 2002 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 2 (a) The thickened and edematous pericardium had a diffuse, predominantly lymphocytic infiltrate (H & E, ×100). Perivascular cuffing by lymphocytes was present (inset; H & E, ×200). (b) Enlarged fibroblasts within the pericardial stroma show nuclear and cytoplasmic inclusions (arrow) pathogomonic of cytomegalovirus cytopathic effect [2] (H & E, ×400). Clinical Microbiology and Infection 2002 8, 248-251DOI: (10.1046/j.1469-0691.2002.00420.x) Copyright © 2002 European Society of Clinical Infectious Diseases Terms and Conditions