Purulent Pericardial Effusion Complicating Meningococcal Meningitis

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Abstract
COMPLICATIONS associated with meningococcal meningitis, such as adrenal hemorrhage, cranialnerve palsies, arthritis and deafness, are well known and frequently described throughout the medical literature. An extremely rare complication is that of purulent pericardial effusion.In 1939 Orgain and Poston1 reviewed the literature on 30 cases of meningococcic pericarditis, to which they added 1 of their own. The majority of these patients died, and only a small number received serum therapy. Most of these effusions were of small amount, and were noted only at post-mortem examination, although the pericardium in 1 case was noted to contain 640 ml. of purulent material. . . .

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