Purulent Pericarditis Caused by Group G Streptococcus as an Initial Presentation of Colon Cancer
Journal of Korean Medical Science
; : 571-573, 2002.
Article
in En
| WPRIM
| ID: wpr-83845
Responsible library:
WPRO
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pericardial Effusion
/
Pericarditis
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Streptococcal Infections
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Streptococcus
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Echocardiography
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Adenocarcinoma
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Colonic Neoplasms
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Electrocardiography
Limits:
Humans
/
Male
Language:
En
Journal:
Journal of Korean Medical Science
Year:
2002
Type:
Article