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Purulent Pericarditis Caused by the Streptococcus milleri Group: A Case Report and Review of the Literature

Year: 2009

Type: article

Abstract: A 69-year-old woman with a history of diabetes mellitus presented at our emergency room with chest pain and dyspnea. A chest computed tomography revealed a pericardial effusion. Pericardiocentesis was performed; strains of the Streptococcus milleri group were detected on culture of the fluid thus obtained. Therefore, purulent pericarditis was diagnosed. Despite treatment with panipenem/betamipron, the pericarditis worsened leading to the development of cardiac tamponade. Emergency pericardial drainage was performed, after which the condition resolved without any complications. We report an extremely rare case of purulent pericarditis caused by a strain of the Streptococcus milleri group. In addition, we review 5 previously reported cases of purulent pericarditis caused by strains.

Source: Internal Medicine

DOI: 10.2169/internalmedicine.48.2109

Authors: Hirokazu Tokuyasu, Yuhei Saitoh, Tomoya Harada, Hirokazu Touge, Yuji Kawasaki, Ryo Maeda, Noritaka Isowa, Eiji Shimizu

Institutions: Matsue Red Cross Hospital, Tottori University

Language: English

Topic: Pericarditis and Cardiac Tamponade

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W1963992480

FWCI: 0.635

Cites: 21

Cited by: 27

Related to: 10