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

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 present...

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Bibliographic Details
Published in:Journal of Korean medical science 2002-08, Vol.17 (4), p.571-573
Main Authors: Kim, Nam Ho, Park, Jong Pil, Jeon, Seong Hui, Lee, Youn Jeong, Choi, Hyeon Jong, Jeong, Keum Mo, Lee, Jin Gu, Choi, Sun Pil, Lim, Ji Hyun, Kim, Yang Ho, Kim, Yong Seok, Kim, Yong Moon, Hwang, Min Ho, Cho, Jin Woong, Moon, Young, Oh, Seok Kyu, Jeong, Jin-Won
Format: Article
Language:English
Subjects:
Adenocarcinoma - complications
Adenocarcinoma - diagnosis
Adenocarcinoma - surgery
Colonic Neoplasms - complications
Colonic Neoplasms - diagnosis
Colonic Neoplasms - surgery
Echocardiography
Electrocardiography
Humans
Male
Middle Aged
Pericardial Effusion
Pericarditis - complications
Pericarditis - drug therapy
Pericarditis - microbiology
Pericarditis - surgery
Streptococcal Infections - complications
Streptococcal Infections - drug therapy
Streptococcal Infections - microbiology
Streptococcal Infections - surgery
Streptococcus - classification
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Summary: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.
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.2002.17.4.571