|
 |
 Home > Available Issues |
|
|
 Case Reports |
| A Rare Case of Pericardial Actinomycosis |
| Ho Yeon Jung1, Hyo Youl Kim1, Young Keun Kim1, Woo Taek Kim1, Se Yong Sung1, Ji-Ho Lee1, Hyang Sun Lee1, Hye Won Hwang1, Mee Yon Cho2 and Il Hwan Park3 |
| Departments of 1Internal Medicine, 2Pathology, and 3Thoracic and Cardiovascular Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea |
Vol.44 Num.1 (p31~34)
|
|
|
|
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. |
|
|
Keywords : Actinomycosis, Pericarditis, Constrictive, Heart failure, Congestive |
|
|
|
|
|
|
|
|
