Chest computed tomography showed pericardial effusion and bilateral small pleural effusion in a 19-year-old patient. Nine hundred mL of yellow purulent fluid was drained by pericardiocentesis. Culture of the fluid grew methicillin resistant Staphylococcus aureus (MRSA). Our patient denied history of previous hospitalization, surgical procedures, or illicit drug use and antibiotic sensitivity was typical of that of community acquired (CA)-MRSA. To the best of our knowledge, this is the first case of CA-MRSA pericarditis to be reported in Egypt and the third to be reported in English literature.
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