Purulent pericarditis caused by group G streptococcus as an initial presentation of colon cancer.
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.
Kim
Nam Ho
NH
Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. kimnh@netian.com
Park
Jong Pil
JP
Jeon
Seong Hui
SH
Lee
Youn Jeong
YJ
Choi
Hyeon Jong
HJ
Jeong
Keum Mo
KM
Lee
Jin Gu
JG
Choi
Sun Pil
SP
Lim
Ji Hyun
JH
Kim
Yang Ho
YH
Kim
Yong Seok
YS
Kim
Yong Moon
YM
Hwang
Min Ho
MH
Cho
Jin Woong
JW
Moon
Young
Y
Oh
Seok Kyu
SK
Jeong
Jin-Won
JW
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion; D010493:Pericarditis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D013290:Streptococcal Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D013291:Streptococcus / Q000145:classification*