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https://www.um.edu.mt/library/oar/handle/123456789/119935
Title: | Post-streptococcus mitis infection polyserositis |
Authors: | Grech, Paula Mangion, Jessica Vella, Sandro |
Keywords: | Streptococcus Periodic peritonitis Infection Cardiopulmonary system |
Issue Date: | 2021 |
Publisher: | BMJ Group |
Citation: | Grech, P., Mangion, J., & Vella, S. (2021). Post-Streptococcus mitis infection polyserositis. BMJ Case Reports CP, 14(1), e236704. |
Abstract: | We report a case of a 42-year-old man who presented with acute epigastric and retrosternal chest pain and exertional dyspnoea, and was subsequently diagnosed with polyserositis secondary to post-Streptococcal mitis infection. A CT scan showed a large pericardial effusion requiring pericardiocentesis, small bilateral pleural effusions and small amount of ascites. Several serological tests were done, which were all found to be normal. Pericardial and pleural fluid aspirates revealed an exudate. Culture of the pleural fluid yielded growth of S. mitis and this was deemed the cause of the polyserositis, which is rare. The patient made a spontaneous recovery. He was started on colchicine by the cardiologists to help prevent pericardial fluid recurrence and this was continued for 3months. A dental review confirmed the presence of dental caries, the possible source of infection. On follow-up, the patient remained well with no further relapses. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/119935 |
Appears in Collections: | Scholarly Works - FacM&SMed |
Files in This Item:
File | Description | Size | Format | |
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Post_streptococcus_mitis_infection_polyserositis_2021.pdf Restricted Access | 330.06 kB | Adobe PDF | View/Open Request a copy |
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