title: Bacterial pericarditis due to group F streptococci as a complication of esophagomediastinal fistula.
abstract: 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.
authors.affiliation: Department of Internal Medicine, University of Iowa College of Medicine and VA Medical Center, Iowa City, Iowa, USA.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Kabra
authors.forename: Karl F
authors.initials: KF
authors.lastname: Welke
authors.forename: Kemp H
authors.initials: KH
authors.lastname: Kernstine
authors.forename: F Jeffrey
authors.initials: FJ
authors.lastname: Field
authors.forename: Brad H
authors.initials: BH
authors.lastname: Thompson
authors.forename: Hemender S
authors.initials: HS
authors.lastname: Vats
authors.forename: Neal L
authors.initials: NL
authors.lastname: Weintraub
mesh_terms: 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*