title: Streptococcus milleri infection and pericardial abscess associated with esophageal carcinoma: report of two cases.
abstract: 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.
authors.affiliation: Department of Internal Medicine, National Cancer Center Hospital East, Kashiwa, Chiba, Japan. mmuto@east.ncc.go.jp
authors.forename: M
authors.initials: M
authors.lastname: Muto
authors.forename: A
authors.initials: A
authors.lastname: Ohtsu
authors.forename: N
authors.initials: N
authors.lastname: Boku
authors.forename: H
authors.initials: H
authors.lastname: Tajiri
authors.forename: S
authors.initials: S
authors.lastname: Yoshida
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents