Purulent pericarditis caused by group G streptococcus as an initial presentation of colon cancer |
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Authors: | Kim Nam Ho Park Jong Pil Jeon Seong Hui Lee Youn Jeong Choi Hyeon Jong Jeong Keum Mo Lee Jin Gu Choi Sun Pil Lim Ji Hyun Kim Yang Ho Kim Yong Seok Kim Yong Moon Hwang Min Ho Cho Jin Woong Moon Young Oh Seok Kyu Jeong Jin-Won |
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Affiliation: | Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. kimnh@netian.com |
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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. |
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