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Constant re-accumulation of the purulent pericardial effusion led the in-patient to possess recurrent echocardiographic and medical cardiac tamponade calling for recurrent pericardiocentesis' and eventually a pericardial window. CONCLUSIONS Although uncommon, microbial pericarditis is noted to guide to clinical and echocardiographic tamponade. Early analysis and treatment are essential for improving clinical results. It is important to have a suspicion