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KMID : 1144320120440010031
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감염과 화학요법
2012 Volume.44 No. 1 p.31 ~ p.34
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A Rare Case of Pericardial Actinomycosis
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Jung Ho-Yeon
Kim Hyo-Youl
Kim Young-Keun
Kim Woo-Taek
Sung Se Yong
Lee Ji-Ho
Lee Hyang-Sun
Hwang Hye-Won
Cho Mee-Yon
Park Il-Hwan
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Abstract
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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.
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KEYWORD
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Actinomycosis, Pericarditis, Constrictive, Heart failure, Congestive
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