title: Purulent pericarditis caused by group G streptococcus as an initial presentation of colon cancer.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. kimnh@netian.com
authors.forename: Nam Ho
authors.initials: NH
authors.lastname: Kim
authors.forename: Jong Pil
authors.initials: JP
authors.lastname: Park
authors.forename: Seong Hui
authors.initials: SH
authors.lastname: Jeon
authors.forename: Youn Jeong
authors.initials: YJ
authors.lastname: Lee
authors.forename: Hyeon Jong
authors.initials: HJ
authors.lastname: Choi
authors.forename: Keum Mo
authors.initials: KM
authors.lastname: Jeong
authors.forename: Jin Gu
authors.initials: JG
authors.lastname: Lee
authors.forename: Sun Pil
authors.initials: SP
authors.lastname: Choi
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Lim
authors.forename: Yang Ho
authors.initials: YH
authors.lastname: Kim
authors.forename: Yong Seok
authors.initials: YS
authors.lastname: Kim
authors.forename: Yong Moon
authors.initials: YM
authors.lastname: Kim
authors.forename: Min Ho
authors.initials: MH
authors.lastname: Hwang
authors.forename: Jin Woong
authors.initials: JW
authors.lastname: Cho
authors.forename: Young
authors.initials: Y
authors.lastname: Moon
authors.forename: Seok Kyu
authors.initials: SK
authors.lastname: Oh
authors.forename: Jin-Won
authors.initials: JW
authors.lastname: Jeong
mesh_terms: 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*