Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Purulent Pericarditis with Concurrent Detection of Streptococcus pneumoniae and Malignant Squamous Cells in Pericardial Fluid
Kensuke NakazawaKoji KanemotoHiromichi SuzukiMichiko MasudaYousuke MatsunoHiroaki IijimaHiroichi Ishikawa
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JOURNALS OPEN ACCESS

2013 Volume 52 Issue 12 Pages 1413-1416

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Abstract

Pneumococcal pericarditis complicated by a malignant effusion has not been reported previously. We experienced an independent 62-year-old man with lung cancer who was hospitalized for acute onset of atrial flutter and moderate pericardial effusion. He was afebrile; however, pericardiocentesis showed Streptococcus pneumoniae and malignant squamous cells in purulent pericardial fluid. This case shows that clinicians should keep in mind the possibility of afebrile bacterial pericarditis in cancer patients with pericardial effusions and that cultures of pericardial fluid should be performed in such patients along with cytological examinations.

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© 2013 by The Japanese Society of Internal Medicine
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