Introduction
Purulent bacterial pericarditis is uncommon, accounting for
<1% of cases1. It is generally manifested
as a serious febrile disease, which should be managed aggressively with
urgent pericardiocentesis, as death is inevitable if it remains
untreated1. Giant “mycotic” coronary artery
aneurysms (over 2 cm in diameter)2 are rare but
potentially fatal infectious conditions usually associated with
infectious endocarditis or bacteremia, particularly in
immune-compromised patients3,4. The term “mycotic”
is a misnomer but is commonly used to describe an infected coronary
artery aneurysm (ICAA) regardless of the type of
infection4. Herein, we present a case of a giant
infected aneurysm of the right coronary artery (RCA) complicated with
purulent pericarditis in an 83-year-old male patient.