Document Detail


Purulent pericarditis due to group B streptococcus and mycotic aneurysm of the ascending aorta: case report.
MedLine Citation:
PMID:  10651213     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Y Akashi; Y Ikehara; A Yamamoto; N Suzuki; N Osada; N Matsumoto; M Sakakibara; H Tochiki; K Tanabe; S Nobuoka; F Miyake; M Murayama; H Abe; M Ikeshita; N Yamate; M Kaku; J Shimada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  64     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-02-14     Completed Date:  2000-02-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  83-6     Citation Subset:  IM    
Affiliation:
The Second Department of Internal Medicine, St Marianna University School of Medicine, Kawasaki, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Infected / diagnosis*,  surgery
Anti-Bacterial Agents / therapeutic use
Aortic Aneurysm, Abdominal / diagnosis*,  surgery
Disseminated Intravascular Coagulation
Female
Humans
Middle Aged
Multiple Organ Failure
Pericardial Effusion
Pericardiocentesis
Pericarditis / complications,  microbiology*,  therapy
Streptococcal Infections / complications*,  therapy
Streptococcus agalactiae* / isolation & purification
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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