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KMID : 1144320150470040261
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감염과 화학요법
2015 Volume.47 No. 4 p.261 ~ p.267
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Polymicrobial Purulent Pericarditis Probably caused by a Broncho-Lymph Node-Pericardial Fistula in a Patient with Tuberculous Lymphadenitis
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Lee Seung
Lee Kang-Lok
Ko Jun-Kwon
Park Jae-Keun
Yu Mi-Yeon
Oh Chang-Kyo
Hong Seung-Pyo
Kim Yeon-Jae
Lim Young-Hyo
Kim Hyuck
Pai Hyun-Joo
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Abstract
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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.
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KEYWORD
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Tuberculous pericarditis, Tuberculous lymphadenitis, Bronchial fistula, Polymicrobial infection, Pericarditis
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