Polymicrobial Purulent Pericarditis Probably caused by a Broncho-Lymph Node-Pericardial Fistula in a Patient with Tuberculous Lymphadenitis.
- Author:
Seung LEE
1
;
Kanglok LEE
;
Jun Kwon KO
;
Jaekeun PARK
;
Mi Yeon YU
;
Chang Kyo OH
;
Seung Pyo HONG
;
Yeonjae KIM
;
Younghyo LIM
;
Hyuck KIM
;
Hyunjoo PAI
Author Information
- Publication Type:Case Report
- Keywords: Tuberculous pericarditis; Tuberculous lymphadenitis; Bronchial fistula; Polymicrobial infection; Pericarditis
- MeSH: Adolescent; Bronchial Fistula; Candida; Coinfection; Fistula*; Humans; Male; Mortality; Mycobacterium tuberculosis; Peptostreptococcus; Pericardiectomy; Pericarditis*; Pericarditis, Tuberculous; Prevotella; Staphylococcus aureus; Streptococcus anginosus; Tuberculosis, Lymph Node*
- From:Infection and Chemotherapy 2015;47(4):261-267
- CountryRepublic of Korea
- Language:English
- Abstract: Purulent pericarditis is a rare condition with a high mortality rate. We report a case of purulent pericarditis subsequently caused by Candida parapsilosis, Peptostreptococcus asaccharolyticus, Streptococcus anginosus, Staphylococcus aureus, Prevotella oralis, and Mycobacterium tuberculosis in a previously healthy 17-year-old boy with mediastinal tuberculous lymphadenitis. The probable route of infection was a bronchomediastinal lymph node-pericardial fistula. The patient improved with antibiotic, antifungal, and antituberculous medication in addition to pericardiectomy.
