title: Polymicrobial Purulent Pericarditis Probably caused by a Broncho-Lymph Node-Pericardial Fistula in a Patient with Tuberculous Lymphadenitis.
abstract: Purulent pericarditis is a rare condition with a high mortality rate. We report a case of purulent pericarditis subsequently caused by Candida parapsilosis, Peptostreptococcus asaccharolyticus, Streptococcus anginosus, Staphylococcus aureus, Prevotella oralis, and Mycobacterium tuberculosis in a previously healthy 17-year-old boy with mediastinal tuberculous lymphadenitis. The probable route of infection was a bronchomediastinal lymph node-pericardial fistula. The patient improved with antibiotic, antifungal, and antituberculous medication in addition to pericardiectomy.
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Seung
authors.identifier: 0000-0001-7641-2384
authors.initials: S
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Kanglok
authors.initials: K
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Jun Kwon
authors.initials: JK
authors.lastname: Ko
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Jaekeun
authors.initials: J
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Mi Yeon
authors.initials: MY
authors.lastname: Yu
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Chang Kyo
authors.initials: CK
authors.lastname: Oh
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Seung Pyo
authors.initials: SP
authors.lastname: Hong
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Yeonjae
authors.initials: Y
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Younghyo
authors.initials: Y
authors.lastname: Lim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Hyuck
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
authors.forename: Hyunjoo
authors.identifier: 0000-0003-4143-035X
authors.initials: H
authors.lastname: Pai
keywords: Bronchial fistula; Pericarditis; Polymicrobial infection; Tuberculous lymphadenitis; Tuberculous pericarditis