1.Purulent Pericarditis Caused by Group G Streptococcus as an Initial Presentation of Colon Cancer.
Nam Ho KIM ; 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
Journal of Korean Medical Science 2002;17(4):571-573
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.
Adenocarcinoma/complications/*diagnosis/surgery
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Colonic Neoplasms/complications/*diagnosis/surgery
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Echocardiography
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Electrocardiography
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Humans
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Male
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Middle Aged
;
Pericardial Effusion
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Pericarditis/complications/drug therapy/*microbiology/surgery
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Streptococcal Infections/complications/drug therapy/*microbiology/surgery
;
Streptococcus/*classification
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