1887

Abstract

Purulent pericarditis is a life-threatening disease that usually manifests following bacteraemia or through spreading from an intrathoracic focus. Only a few cases of this disease have been reported with Lancefield group C streptococci as aetiological agents, and the primary focus in these infections remains unknown. We report a case of purulent pericarditis with septic and cardiogenic shock, caused by subsp. (group C) in a 51-year-old patient. The pathogen was possibly contracted through contact with horses. Most probably, it caused initially pneumonia before spreading to the pericardium, either directly or via the bloodstream. A combined therapeutic approach, consisting of antibiotic therapy and repeated pericardial drainage, was necessary to ensure a clinical cure. After discharge, long-term follow-up for development of constrictive pericarditis is considered mandatory.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.066290-0
2014-02-01
2020-12-03
Loading full text...

Full text loading...

/deliver/fulltext/jmm/63/2/313.html?itemId=/content/journal/jmm/10.1099/jmm.0.066290-0&mimeType=html&fmt=ahah

References

  1. Behnes M., Mashayekhi K., Geginat G., Borggrefe M. 2010; Horse bacterium causes human pericardial and pleural effusion. Infection 38:501–504 [CrossRef][PubMed]
    [Google Scholar]
  2. Berenguer J., Sampedro I., Cercenado E., Baraia J., Rodríguez-Créixems M., Bouza E. 1992; Group-C β-hemolytic streptococcal bacteremia. Diagn Microbiol Infect Dis 15:151–155 [CrossRef][PubMed]
    [Google Scholar]
  3. Bhatia R., Bhanot N. 2012; Spondylodiskitis secondary to Streptococcus equi subspecies zooepidemicus. Am J Med Sci 343:94–97 [CrossRef][PubMed]
    [Google Scholar]
  4. Bolin D. C., Donahue J. M., Vickers M. L., Harrison L., Sells S., Giles R. C., Hong C. B., Poonacha K. B., Roberts J.& other authors ( 2005; Microbiologic and pathologic findings in an epidemic of equine pericarditis. J Vet Diagn Invest 17:38–44 [CrossRef][PubMed]
    [Google Scholar]
  5. Bordes-Benítez A., Sánchez-Oñoro M., Suárez-Bordón P., García-Rojas A. J., Saéz-Nieto J. A., González-García A., Alamo-Antúnez I., Sánchez-Maroto A., Bolaños-Rivero M. 2006; Outbreak of Streptococcus equi subsp. zooepidemicus infections on the island of Gran Canaria associated with the consumption of inadequately pasteurized cheese. Eur J Clin Microbiol Infect Dis 25:242–246 [CrossRef][PubMed]
    [Google Scholar]
  6. Bradley S. F., Gordon J. J., Baumgartner D. D., Marasco W. A., Kauffman C. A. 1991; Group C streptococcal bacteremia: analysis of 88 cases. Rev Infect Dis 13:270–280 [CrossRef][PubMed]
    [Google Scholar]
  7. Brook I., Frazier E. H. 1996; Microbiology of acute purulent pericarditis. A 12-year experience in a military hospital. Arch Intern Med 156:1857–1860 [CrossRef][PubMed]
    [Google Scholar]
  8. CLSI 2012; Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow Aerobically; Approved Standard, 9th edn, CLSI document M07-A9. Wayne, PA: Clinical and Laboratory Standards Institute;
  9. Hanson G., Engel P. J. 1981; Purulent pericarditis caused by β-hemolytic group C Streptococcus. A case report. Arch Intern Med 141:1351–1352 [CrossRef][PubMed]
    [Google Scholar]
  10. McClure R. S., Burgess J. J., Bayes A. J., Cohen J. J. 2004; Primary purulent pericarditis due to group C Streptococcus. Can J Cardiol 20:1479–1480[PubMed]
    [Google Scholar]
  11. Parikh S. V., Memon N., Echols M., Shah J., McGuire D. K., Keeley E. C. 2009; Purulent pericarditis: report of 2 cases and review of the literature. Medicine (Baltimore) 88:52–65 [CrossRef][PubMed]
    [Google Scholar]
  12. Stevenson R. G. 1974; Streptococcus zooepidemicus infection in sheep. Can J Comp Med 38:243–250[PubMed]
    [Google Scholar]
  13. Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology 2004; Guidelines on the diagnosis and management of pericardial diseases executive summary. Eur Heart J 25:587–610 [CrossRef][PubMed]
    [Google Scholar]
  14. Waller A. S., Paillot R., Timoney J. F. 2011; Streptococcus equi: a pathogen restricted to one host. J Med Microbiol 60:1231–1240 [CrossRef][PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.066290-0
Loading
/content/journal/jmm/10.1099/jmm.0.066290-0
Loading

Data & Media loading...

Most cited this month Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error