Related Experiment Videos
Purulent pericarditis caused by Streptococcus milleri
K Akashi1, T Ishimaru, Y Tsuda
1First Department of Internal Medicine, Faculty of Medicine, Kyushu University, Japan.
Archives of Internal Medicine
|November 1, 1988
Abstract:
Streptococcus milleri was isolated in pure culture from the pericardial fluid of a 42-year-old man with pulmonary tuberculosis. Pericardiectomy had to be done to cure the pericarditis.
Insights
Streptococcus milleri, a bacterium, was identified in the pericardial fluid of a patient with pulmonary tuberculosis. Surgical pericardiectomy was necessary to resolve the resulting pericarditis.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Pulmonary tuberculosis (TB) can present with extrapulmonary manifestations.
- Pericarditis is an inflammation of the pericardium, the sac surrounding the heart.
- Tuberculous pericarditis is a significant cause of morbidity and mortality, particularly in endemic areas.
Observation:
- A 42-year-old male patient presented with symptoms suggestive of pericarditis.
- Diagnostic investigations revealed the presence of Streptococcus milleri in the pericardial fluid.
- The patient had a concurrent diagnosis of pulmonary tuberculosis.
Findings:
- Pure culture isolation of Streptococcus milleri from pericardial fluid confirmed a bacterial etiology.
- The pericarditis was directly linked to the Streptococcus milleri infection.
- Pulmonary tuberculosis was identified as a co-existing condition.
Implications:
- This case highlights the potential for Streptococcus milleri to cause severe pericarditis, even in the context of pulmonary tuberculosis.
- Aggressive management, including surgical intervention like pericardiectomy, may be crucial for treatment success.
- Further research into the pathogenesis and optimal treatment strategies for mixed infections involving Streptococcus milleri and tuberculosis is warranted.