A rare case of massive pericardial effusion due to spontaneous rupture of Streptococcus anginosus group liver abscess

Prateepchaiboon, Tanaporn; Akarapatima, Keerati; Pisudtinontakul, Warut; Rattanasupa, Attapon; Chang, Arunchai

doi:10.1007/s12328-020-01196-3

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Though SAG can cause infection in any part of the body, more commonly they are isolated from skin and soft tissue lesions, peritonsillar, appendiceal, liver, brain, and lung abscesses [ 8 , 9 ]. From a search of the PubMed database, we identified 13 reports of purulent pericarditis caused by SAG [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 ]. Out of these, only two cases were caused by Streptococcus constellatus [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus

et al. 2023

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Background: Bacteria-caused acute pericarditis is a very rare entity. It is usually associated with an underlying infection or compromised immune system. Primary purulent pericarditis in a previously healthy individual is highly unexpected; therefore, it is likely to have a delayed diagnosis and poor outcomes. Case: We report a case of an adult immunocompetent patient with primary bacterial pericarditis caused by a member of the commensal oral flora Streptococcus constellatus. The patient presented with septic shock and cardiac tamponade, and was further complicated with constrictive pericarditis, which was successfully treated with pericardiectomy. Conclusions: Bacterial pericarditis is a fulminant disease with a high mortality and complication rate. Fast recognition and prompt therapy are required to achieve a full recovery.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus

et al. 2023

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Streptococcus anginosuspurulent pericarditis with cardiac tamponade presenting as a complication of postobstructive pneumonia

et al. 2022

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A man in his 60s with stage 3 squamous cell carcinoma of the left lung status postchemotherapy and radiation therapy presented with mixed septic and obstructive shock with multiorgan dysfunction. Initial electrocardiogram showed sinus tachycardia and diffuse concaved ST elevation. Transthoracic echocardiogram revealed pericardial effusion with tamponade physiology. CT thorax was notable for dense left lung consolidation with pleural effusion. Emergent pericardiocentesis and percutaneous balloon pericardiotomy were performed which successfully drained 500 mL of purulent pericardial fluid. A left chest tube was placed and revealed a large volume of empyema. Both pericardial and pleural fluid cultures yielded similar strains of Streptococcus anginosus. The patient was initially treated with empiric broad-spectrum intravenous antibiotics which were eventually de-escalated to intravenous ceftriaxone based on microbiology culture and sensitivity. Unfortunately, the patient developed pulseless electrical activity arrest on day 10 of intensive care unit stay and expired despite cardiopulmonary resuscitation.

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The Clinical View on Streptococcus anginosus Group – Opportunistic Pathogens Coming Out of Hiding

2022

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Three distinct streptococcal species: Streptococcus anginosus, Streptococcus intermedius, and Streptococcus constellatus, belonging to the Streptococcus anginosus group (SAG), also known as Streptococcus milleri group, have been attracting clinicians and microbiologists, not only as oral commensals but also as opportunistic pathogens. For years they have been simply classified as so called viridans streptococci, and distinct species were not associated with particular clinical manifestations. Therefore, description of SAG members are clearly underrepresented in the literature, compared to other medically relevant streptococci. However, the increasing number of reports of life-threatening infections caused by SAG indicates their emerging pathogenicity. The improved clinical data generated with the application of modern molecular diagnostic techniques allow for precise identification of individual species belonging to SAG. This review summarizes clinical reports on SAG infections and systematizes data on the occurrence of individual species at the site of infection. We also discuss the issue of proper microbiological diagnostics, which is crucial for further clinical treatment.

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A rare case of massive pericardial effusion due to spontaneous rupture of Streptococcus anginosus group liver abscess

Cited by 3 publications

References 19 publications

A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus

A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus

Streptococcus anginosuspurulent pericarditis with cardiac tamponade presenting as a complication of postobstructive pneumonia

The Clinical View on Streptococcus anginosus Group – Opportunistic Pathogens Coming Out of Hiding

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