J Korean Med Sci.  2002 Aug;17(4):571-573. 10.3346/jkms.2002.17.4.571.

Purulent Pericarditis Caused by Group G Streptococcus as an Initial Presentation of Colon Cancer

• Kim NH
• Park JP
• Jeon SH
• Lee YJ
• Choi HJ
• Jeong KM
• Lee JG
• Choi SP
• Lim JH
• Kim YH
• Kim YS
• Kim YM
• Hwang MH
• Cho JW
• Moon Y
• Oh SK
• Jeong JW

• KMID: 1109773
• DOI: http://doi.org/10.3346/jkms.2002.17.4.571

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.

Keyword

Pericarditis; Group G Streptococcus; Colonic Neoplasms

MeSH Terms

Adenocarcinoma/complications/*diagnosis/surgery
Colonic Neoplasms/complications/*diagnosis/surgery
Echocardiography
Electrocardiography
Humans
Male
Middle Aged
Pericardial Effusion
Pericarditis/complications/drug therapy/*microbiology/surgery
Streptococcal Infections/complications/drug therapy/*microbiology/surgery
Streptococcus/*classification