A 41-years-old gentleman was admitted for reduced effort
tolerance with non-specific symptoms of weight loss and
generalised body weakness. Chest X-ray (CXR) showed
cardiomegaly. Echocardiography showed a large pericardial
effusion with septation. Emergency pericardiocentesis was
performed and pericardial fluid culture grew Salmonella
enteritidis (S. enteritidis). He tested positive for the retroviral
disease, with a CD4 count of 10 cells/µL. Intravenous (IV)
ceftriaxone was administered. A pericardial drain was
inserted due to the rapid re-accumulation of pericardial fluid
after the initial pericardiocentesis. He also had drainage of
his left pleural effusion. He had a guidewire exchange of
pericardial drain around 2 weeks after admission, with
flushing performed whenever the flow was poor. A repeat
echocardiogram showed early signs of constrictive
pericarditis with residual pericardial effusion in which intrapericardial fibrinolysis was considered. He was started on
antiretroviral therapy (ART) and his condition remained
stable. The pericardial drain was kept throughout his
admission. Unfortunately, he developed severe sepsis and
succumbed to it about a month post-admission
