Purulent Pericarditis Caused by Group G Streptococcus as an Initial Presentation of Colon Cancer.
10.3346/jkms.2002.17.4.571
- Author:
Nam Ho KIM
1
;
Jong Pil PARK
;
Seong Hui JEON
;
Youn Jeong LEE
;
Hyeon Jong CHOI
;
Keum Mo JEONG
;
Jin Gu LEE
;
Sun Pil CHOI
;
Ji Hyun LIM
;
Yang Ho KIM
;
Yong Seok KIM
;
Yong Moon KIM
;
Min Ho HWANG
;
Jin Woong CHO
;
Young MOON
;
Seok Kyu OH
;
Jin Won JEONG
Author Information
1. Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. kimnh@netian.com
- Publication Type:Case Reports
- Keywords:
Pericarditis;
Group G Streptococcus;
Colonic Neoplasms
- MeSH:
Adenocarcinoma/complications/*diagnosis/surgery;
Colonic Neoplasms/complications/*diagnosis/surgery;
Echocardiography;
Electrocardiography;
Humans;
Male;
Middle Aged;
Pericardial Effusion;
Pericarditis/complications/drug therapy/*microbiology/surgery;
Streptococcal Infections/complications/drug therapy/*microbiology/surgery;
Streptococcus/*classification
- From:Journal of Korean Medical Science
2002;17(4):571-573
- CountryRepublic of Korea
- Language:English
-
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.
