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Ann Thorac Surg 2005;79:2132-2134
© 2005 The Society of Thoracic Surgeons

Case report

Bacterial Pericarditis Due to Group F Streptococci as a Complication of Esophagomediastinal Fistula

Rajesh Kabra, MDa, Karl F. Welke, MDb, Kemp H. Kernstine, MD, PhDb, F. Jeffrey Field, MDa, Brad H. Thompson, MDc, Hemender S. Vats, MDa, Neal L. Weintraub, MDa,*

a Department of Internal Medicine, University of Iowa College of Medicine and VA Medical Center, Iowa City, Iowa, USA
b Department of Surgery, University of Iowa College of Medicine and VA Medical Center, Iowa City, Iowa, USA
c Department of Radiology, University of Iowa College of Medicine and VA Medical Center, Iowa City, Iowa

Accepted for publication December 10, 2003.

* Address reprint requests to Dr Weintraub, Division of Cardiovascular Diseases, Department of Internal Medicine, University of Iowa College of Medicine, 200 Hawkins Dr, E315-A1 GH, Iowa City, IA52242 (E-mail: neal-weintraub{at}uiowa.edu).

We report a case of group F streptococcal pericarditis, the source of which was found to be an esophagomediastinal fistula arising from a midesophageal diverticulum. The patient presented subacutely and had no preexisting symptoms of esophageal disease. Antibiotic therapy, surgical drainage, pericardiectomy, and esophageal myotomy led to a successful outcome.






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