Author/Authors :
Fry, E. Baylor Scott and White Medical Center, Temple, TX, USA , Urbanczyk, J. Baylor Scott and White Medical Center, Temple, TX, USA , Price, J. Baylor Scott and White Medical Center, Temple, TX, USA , Digiovanni, R. Baylor Scott and White Medical Center, Temple, TX, USA , Jepson, M. Baylor Scott and White Medical Center, Temple, TX, USA , Gantt, D. Baylor Scott and White Medical Center, Temple, TX, USA
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.
