title: Primary purulent pericarditis due to group C Streptococcus.
abstract: In the antibiotic era, purulent pericarditis, an infection associated with high mortality, is uncommon. The causative organism is generally Staphylococcus aureus or Streptococcus pneumoniae arising from contiguous spread or hematogenous dissemination of an underlying infection elsewhere in the body. The present report describes a previously healthy individual who presented with acute infectious pericarditis with the offending organism identified as Lancefield group C Streptococcus equi. After an initial pericardial window was unable to prevent recurrent pericardial effusion, pericardiectomy was performed and the patient slowly recovered from the incident.
authors.affiliation: CSTAR-University Hospital, 339 Windermere Road, London, Ontario N6A 5A5, Canada. scott.mcclure@c-star.ca
authors.forename: R Scott
authors.initials: RS
authors.lastname: McClure
authors.forename: John J
authors.initials: JJ
authors.lastname: Burgess
authors.forename: Alex J
authors.initials: AJ
authors.lastname: Bayes
authors.forename: James J
authors.initials: JJ
authors.lastname: Cohen
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010492:Pericardiectomy / Q000379:methods; D010493:Pericarditis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D018570:Risk Assessment; D012720:Severity of Illness Index; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000628:therapy; D013291:Streptococcus / Q000145:classification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents