Streptococcus milleri infection and pericardial abscess associated with esophageal carcinoma: report of two cases.
We report 2 cases of esophageal carcinoma with esophago-mediastinal fistula that developed pericardial abscess due to Streptococcus intermedius infection. Streptococcus intermedius, a generally harmless commensals in healthy humans, is not usually associated with infections of the oral cavity but may account for non-oral purulent infections. This report, however, highlights that Streptococcus intermedius infection can be life-threatening for some patients such as those with esophageal carcinoma with fistula.
Muto
M
M
Department of Internal Medicine, National Cancer Center Hospital East, Kashiwa, Chiba, Japan. mmuto@east.ncc.go.jp
Ohtsu
A
A
Boku
N
N
Tajiri
H
H
Yoshida
S
S
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy; D000900:Anti-Bacterial Agents; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000188:drug therapy; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004937:Esophageal Fistula / Q000150:complications* / Q000175:diagnosis; D004938:Esophageal Neoplasms / Q000150:complications* / Q000175:diagnosis; D005402:Fistula / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000150:complications* / Q000175:diagnosis; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D010493:Pericarditis / Q000175:diagnosis* / Q000188:drug therapy; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents