Infect Chemother.  2015 Dec;47(4):261-267. 10.3947/ic.2015.47.4.261.

Polymicrobial Purulent Pericarditis Probably caused by a Broncho-Lymph Node-Pericardial Fistula in a Patient with Tuberculous Lymphadenitis

Affiliations
  • 1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. paihj@hanyang.ac.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Hanyang University College of Medicine, Seoul, Korea.

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.

Keyword

Tuberculous pericarditis; Tuberculous lymphadenitis; Bronchial fistula; Polymicrobial infection; Pericarditis

MeSH Terms

Adolescent
Bronchial Fistula
Candida
Coinfection
Fistula*
Humans
Male
Mortality
Mycobacterium tuberculosis
Peptostreptococcus
Pericardiectomy
Pericarditis*
Pericarditis, Tuberculous
Prevotella
Staphylococcus aureus
Streptococcus anginosus
Tuberculosis, Lymph Node*
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