Polymicrobial purulent pericarditis probably caused by a broncho-lymph node-pericardial fistula in a patient with tuberculous lymphadenitis

Seung Lee, Kanglok Lee, Jun Kwon Ko, Jaekeun Park, Mi Yeon Yu, Chang Kyo Oh, Seung Pyo Hong, Yeonjae Kim, Younghyo Lim, Hyuck Kim, Hyunjoo Pai

Research output: Contribution to journalArticle

3 Scopus citations

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.

Original languageEnglish
Pages (from-to)261-267
Number of pages7
JournalInfection and Chemotherapy
Volume47
Issue number4
DOIs
StatePublished - 2015 Jan 1

Keywords

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

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