Purulent pericarditis due to group B streptococcus and mycotic aneurysm of the ascending aorta: case report.
A 61-year-old female, with a history of uterine and cervical cancer treated with radical hysterectomy and 2 years of postoperative chemotherapy, presented to the emergency department with dyspnea on exertion. Computed tomography of the chest revealed a large pericardial effusion and a sacciform aneurysm of the ascending aorta. The patient subsequently underwent emergency pericardiocentesis with drainage of approximately 330 ml of a bloody and turbid effusion. Cultures from the effusion yielded group B streptococcus. Multiple organ failure and disseminated intravascular coagulation syndrome occurred in the acute phase, but gradually improved with continuous antibiotic therapy. On the 194th hospital day, in situ reconstruction of the ascending aorta was successfully performed using a synthetic graft. Although rarely reported, both purulent bacterial pericarditis and mycotic aneurysm can be life-threatening.
Akashi
Y
Y
The Second Department of Internal Medicine, St Marianna University School of Medicine, Kawasaki, Japan.
Ikehara
Y
Y
Yamamoto
A
A
Suzuki
N
N
Osada
N
N
Matsumoto
N
N
Sakakibara
M
M
Tochiki
H
H
Tanabe
K
K
Nobuoka
S
S
Miyake
F
F
Murayama
M
M
Abe
H
H
Ikeshita
M
M
Yamate
N
N
Kaku
M
M
Shimada
J
J
D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis* / Q000601:surgery; D004211:Disseminated Intravascular Coagulation; D005260:Female; D006801:Humans; D008875:Middle Aged; D009102:Multiple Organ Failure; D010490:Pericardial Effusion; D020519:Pericardiocentesis; D010493:Pericarditis / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D013290:Streptococcal Infections / Q000150:complications* / Q000628:therapy; D013292:Streptococcus agalactiae / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents