Purulent pericarditis caused by group G streptococcus as an initial presentation of colon cancer.

Abstract:

:Bacterial pericarditis has been recognized as a rare disease since the development of antibiotics. Usually, the disease is associated with underlying conditions or a seeding of infection elsewhere to the pericardium. Here we describe a case of group G streptococcal pericarditis as an initial presentation of colon cancer. A 52-yr-old man was admitted because of dyspnea. An electrocardiogram showed a diffuse ST-segment elevation and a two-dimensional echocardiogram showed a large amount of pericardial effusion. A pericardiocentesis was done and purulent fluid was drained. Group G streptococci was cultured in pericardial fluid. The patient was treated with antibiotics and pericardiostomy with saline irrigation. A colonoscopy revealed a small mass with moderately differentiated adenocarcinoma in rectosigmoid colon. He underwent a mucosectomy and was recovered without any complication.

journal_name

J Korean Med Sci

authors

Kim NH,Park JP,Jeon SH,Lee YJ,Choi HJ,Jeong KM,Lee JG,Choi SP,Lim JH,Kim YH,Kim YS,Kim YM,Hwang MH,Cho JW,Moon Y,Oh SK,Jeong JW

doi

10.3346/jkms.2002.17.4.571

keywords:

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

571-3

issue

4

eissn

1011-8934

issn

1598-6357

pii

200208571

journal_volume

17

pub_type

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