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Polymicrobial Purulent Pericarditis Probably caused by a Broncho-Lymph Node-Pericardial Fistula in a Patient with Tuberculous Lymphadenitis

Authors
Lee, SeungLee, KanglokKo, Jun KwonPark, JaekeunYu, Mi YeonOh, Chang KyoHong, Seung PyoKim, YeonjaeLim, YounghyoKim, HyuckPail, Hyunjoo
Issue Date
Dec-2014
Publisher
Korean Society of Infectious Diseases; Korean Society for Antimicrobial Therapy
Keywords
Tuberculous pericarditis; Tuberculous lymphadenitis; Bronchial fistula; Polymicrobial infection; Pericarditis
Citation
Infection and Chemotherapy, v.47, no.4, pp 261 - 267
Pages
7
Indexed
SCOPUS
KCI
Journal Title
Infection and Chemotherapy
Volume
47
Number
4
Start Page
261
End Page
267
URI
https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/158313
DOI
10.3947/ic.2015.47.4.261
ISSN
2093-2340
2092-6448
Abstract
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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서울 의과대학 (DEPARTMENT OF INTERNAL MEDICINE)
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