A rare case of pericardial actinomycosis

Ho Yeon Jung, Hyo Youl Kim, Young Keun Kim, Woo Taek Kim, Se Yong Sung, Ji Ho Lee, Hyang Sun Lee, Hye Won Hwang, Mee Yon Cho, Il Hwan Park

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)31-34
Number of pages4
JournalInfection and Chemotherapy
Volume44
Issue number1
DOIs
Publication statusPublished - 2012 Feb

All Science Journal Classification (ASJC) codes

  • Infectious Diseases
  • Pharmacology (medical)

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    Jung, H. Y., Kim, H. Y., Kim, Y. K., Kim, W. T., Sung, S. Y., Lee, J. H., Lee, H. S., Hwang, H. W., Cho, M. Y., & Park, I. H. (2012). A rare case of pericardial actinomycosis. Infection and Chemotherapy, 44(1), 31-34. https://doi.org/10.3947/ic.2012.44.1.31