Conflict of interest: Nothing to report.
Valvular and Structural Heart Diseases
Needle in the haystack purulent pericarditis from injection drug use†
Version of Record online: 12 DEC 2011
Copyright © 2011 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 80, Issue 3, pages 493–496, 1 September 2012
How to Cite
Steiner, J., Dhingra, R. and DeVries, J. T. (2012), Needle in the haystack purulent pericarditis from injection drug use. Cathet. Cardiovasc. Intervent., 80: 493–496. doi: 10.1002/ccd.23259
- Issue online: 29 AUG 2012
- Version of Record online: 12 DEC 2011
- Accepted manuscript online: 29 JUL 2011 11:14AM EST
- Manuscript Accepted: 25 MAY 2011
- Manuscript Received: 19 MAY 2011
- foreign bodies;
Central needle embolization is a rare complication of intravenous drug abuse which has only been reported on a handful of occasions. Previously reported cases of needle embolization to the heart have been managed conservatively (observation alone) or by surgical intervention. We report a case of purulent pericarditis without evidence of valvular vegetations resulting from an embolized, infected needle fragment. In the present case, the needle was successfully removed from the right ventricle percutaneously. This case illustrates the unique finding of purulent pericarditis due to a persistent foreign body in the right ventricle, and the nontraditional intervention performed for needle fragment removal which resulted in full clinical recovery of the patient. © 2011 Wiley Periodicals, Inc.