Purulent pericarditis due to group B streptococcus and mycotic aneurysm of the ascending aorta: Case report

Yoshihiro Akashi, Yasuhiko Ikehara, Akiko Yamamoto, Noriyuki Suzuki, Naohiko Osada, Naoki Matsumoto, Masayoshi Sakakibara, Hidetaka Tochiki, Kazuhiko Tanabe, Sachihiko Nobuoka, Fumihiko Miyake, Masahiro Murayama, Hiroyuki Abe, Masatoshi Ikeshita, Noboru Yamate, Mitsuo Kaku, Jingorou Shimada

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13 Citations (Scopus)

Abstract

A 61-year-old female, with a history of uterine and cervical cancer treated with radical hysterectomy and 2 years of postoperative chemotherapy, presented to the emergency department with dyspnea on exertion. Computed tomography of the chest revealed a large pericardial effusion and a sacciform aneurysm of the ascending aorta. The patient subsequently underwent emergency pericardiocentesis with drainage of approximately 330 ml of a bloody and turbid effusion. Cultures from the effusion yielded group B streptococcus. Multiple organ failure and disseminated intravascular coagulation syndrome occurred in the acute phase, but gradually improved with continuous antibiotic therapy. On the 194th hospital day, in situ reconstruction of the ascending aorta was successfully performed using a synthetic graft. Although rarely reported, both purulent bacterial pericarditis and mycotic aneurysm can be life-threatening.

Original languageEnglish
Pages (from-to)83-86
Number of pages4
JournalJAPANESE CIRCULATION JOURNAL
Volume64
Issue number1
DOIs
Publication statusPublished - 2000 Jan

Keywords

  • Cardiac tamponade
  • Group B streptococcus
  • Mycotic aneurysm
  • Purulent pericarditis

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

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