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KMID : 0191120020170040571
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Journal of Korean Medical Science
2002 Volume.17 No. 4 p.571 ~ p.573
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Purulent Pericarditis Caused by Group G Streptococcus as an Initial Presentation of Colon Cancer
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Nam Ho Kim/Nam Ho Kim
Jong Pil Park/Seong Hui Jeon/Youn Jeong Lee/Hyeon Jong Choi/Keum Mo Jeong/Jin Gu Lee/Sun Pil Choi/Ji Hyun Lim/Yang Ho Kim/Yong Seok Kim/Yong Moon Kim/Min Ho Hwang/Jin Woong Cho/Young Moon/Seok Kyu Oh/Jin Won Jeong
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Abstract
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Bacterial pericarditis has been recognized as a rare disease since the development of antibiotics. Usually, the disease is associated with underlying conditions or a seeding of infection elsewhere to the pericardium. Here we describe a case of group G streptococcal pericarditis as an initial presentation of colon cancer. A 52-yr-old man was admitted because of dyspnea. An electrocardiogram showed a diffuse ST-segment elevation and a two-dimensional echocardiogram showed a large amount of pericardial effusion. A pericardiocentesis was done and purulent fluid was drained. Group G streptococci was cultured in pericardial fluid. The patient was treated with antibiotics and pericardiostomy with saline irrigation. A colonoscopy revealed a small mass with moderately differentiated adenocarcinoma in rectosigmoid colon. He underwent a mucosectomy and was recovered without any complication.
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KEYWORD
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Pericarditis, Group G Streptococcus, Colonic Neoplasms,
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