Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Aug 16:2018:3514797.
doi: 10.1155/2018/3514797. eCollection 2018.

Streptococcus pyogenes Pericarditis with Resultant Pulmonary Trunk Compression Secondary to Mycotic Pseudoaneurysm

E Fry  1 , J Urbanczyk  1 , J Price  1 , R Digiovanni  1 , M Jepson  1 , D Gantt  1
Affiliations
Case Reports

Streptococcus pyogenes Pericarditis with Resultant Pulmonary Trunk Compression Secondary to Mycotic Pseudoaneurysm

E Fry et al. Case Rep Cardiol. .

Abstract

Purulent pericarditis is a rare disease in the era of antibiotics, with Streptococcus pyogenes being a possible, though uncommon etiology. Even more uncommon are mycotic aneurysms secondary to group A strep purulent pericarditis and bacteremia. We report a case of an 18-year-old female with a history of strep pharyngitis develop Streptococcus pyogenes purulent pericarditis with subsequent ventricular fibrillation (VF). Following initial stabilization, she ultimately developed a 4.8 cm mycotic aneurysm of the ascending aorta, with resultant compression of the pulmonary trunk and right pulmonary arteries.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Significant ECGs. (a) Diffuse ST elevation and PR depressions indicating pericarditis. (b) S1Q3T3 phenomenon.
Figure 2
Figure 2
Transthoracic 2D echocardiography images. Echo images concerning for compression of the pulmonary vasculature.
Figure 3
Figure 3
CT scans identifying pseudoaneurysm. Pseudoaneurysm compressing on the pulmonary trunk and right main stem (a) and 4.8 cm aortic pseudoaneurysm (b).
Figure 4
Figure 4
Intraoperative transesophageal echocardiogram. D-shaped ventricle indicating right heart strain seen in multiple frames.
See this image and copyright information in PMC

References

    1. Sagristà-Sauleda J., Barrabés J. A., Permanyer-Miralda G., Soler-Soler J. Purulent pericarditis: review of a 20-year experience in a general hospital. Journal of the American College of Cardiology. 1993;22(6):1661–1665. doi: 10.1016/0735-1097(93)90592-O. - DOI - PubMed
    1. Rubin R. H., Moellering R. C., Jr. Clinical, microbiologic and therapeutic aspects of purulent pericarditis. The American Journal of Medicine. 1975;59(1):68–78. doi: 10.1016/0002-9343(75)90323-X. - DOI - PubMed
    1. Klacsmann P. G., Bulkley B. H., Hutchins G. M. The changed spectrum of purulent pericarditis: an 86 year autopsy experience in 200 patients. The American Journal of Medicine. 1977;63(5):666–673. doi: 10.1016/0002-9343(77)90150-4. - DOI - PubMed
    1. Barth H., Moosdorf R., Bauer J., Schranz D., Akintürk H. Mycotic pseudoaneurysm of the aorta in children. Pediatric Cardiology. 2000;21(3):263–266. doi: 10.1007/s002460010054. - DOI - PubMed
    1. Schwartz M. C., Gillespie M. J., Stephens P., Fisher B. Cardiac tamponade due to group A streptococcal pericarditis in a 10-month-old boy and a review of the literature. Open Journal of Pediatrics. 2011;1(4):87–89. doi: 10.4236/ojped.2011.14020. - DOI

Publication types

LinkOut - more resources