Bacterial pericarditis due to group F streptococci as a complication of esophagomediastinal fistula.
We report a case of group F streptococcal pericarditis, the source of which was found to be an esophagomediastinal fistula arising from a midesophageal diverticulum. The patient presented subacutely and had no preexisting symptoms of esophageal disease. Antibiotic therapy, surgical drainage, pericardiectomy, and esophageal myotomy led to a successful outcome.
Kabra
Rajesh
R
Department of Internal Medicine, University of Iowa College of Medicine and VA Medical Center, Iowa City, Iowa, USA.
Welke
Karl F
KF
Kernstine
Kemp H
KH
Field
F Jeffrey
FJ
Thompson
Brad H
BH
Vats
Hemender S
HS
Weintraub
Neal L
NL
D000328:Adult; D004936:Diverticulum, Esophageal / Q000150:complications / Q000382:microbiology / Q000601:surgery; D004935:Esophageal Diseases / Q000150:complications* / Q000601:surgery; D005260:Female; D005402:Fistula / Q000150:complications* / Q000601:surgery; D006801:Humans; D008477:Mediastinal Diseases / Q000150:complications* / Q000601:surgery; D010493:Pericarditis / Q000209:etiology* / Q000382:microbiology*; D013290:Streptococcal Infections / Q000209:etiology*