A Rare Case of Pericardial Actinomycosis
Infection and Chemotherapy
;
: 31-34, 2012.
Article
in Korean
| WPRIM
| ID: wpr-39034
ABSTRACT
Actinomycosis is a common chronic suppurative and granulomatous infection caused by anaerobic or microphilic bacteria primarily from the genus Actinomyces. However, Actinomyces is a rare cause of pericarditis. We experienced a rare case of pericardial actinomycosis. A previously healthy 44-year-old man presented with 3 days of fever, chest pain, and clinical signs of congestive heart failure. Chest computed tomography showed pericardial effusion, pericardial thickening, and bilateral pleural effusion. A subxiphoidpericardiotomy was performed, and a histological specimen was taken from the pericardium. A histological section of the pericardium showed an actinomycotic granule (sulfur granule). His symptoms and signs improved after administration of piperacillin/tazobactam and steroids. He was uneventfully discharged on oral amoxicillin/clavulanate. He recovered fully with no recurrence after six months of follow-up.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pericardial Effusion
/
Pericarditis
/
Pericardium
/
Pleural Effusion
/
Recurrence
/
Steroids
/
Thorax
/
Bacteria
/
Chest Pain
/
Actinomyces
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Infection and Chemotherapy
Year:
2012
Type:
Article
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