Community-associated bacterial pericarditis is rare, but 4 patients with pericardial involvement related to strains of community-associated methicillin-resistant Staphylococcus aureus presented to 2 hospitals in Alameda County from 2005 to 2009. One case likely resulted from hematogenous spread from a soft-tissue abscess, one from direct invasion from contiguous lung, and 2 from either hematogenous spread or spread from contiguous infection. Community-associated methicillin-resistant S. aureus needs to be considered in the differential diagnosis of pericarditis.
From the *Department of Medicine Alameda County Medical Center, Oakland; and †St Rose Hospital, Hayward, CA.
Reprints: Robert McCabe, MD, 1531 Gilboa Dr, Walnut Creek, CA. E-mail: email@example.com.
Neither author has any commercial or proprietary interest in any drug, device, or equipment mentioned in this article.