@article{3110265,
    title = "Purulent pericarditis caused by streptococcus milleri strains; the gained experience from nine reported cases",
    author = "Kouerinis, I.A. and Chetty, G. and Lazaros, G. and Karagkiouzis, G. and Karathanasis, I. and Kantsos, C. and Georgiopoulos, G. and Cooper, G.",
    journal = "International Cardiovascular Research Journal",
    year = "2015",
    volume = "9",
    number = "4",
    pages = "243-246",
    publisher = "Iranian Cardiovascular Research Journal",
    doi = "10.17795/icrj-9(4)243",
    keywords = "ceftriaxone;  metronidazole, aged;  antibiotic therapy;  Article;  bacterial strain;  case report;  computer assisted tomography;  dizziness;  follow up;  hospital discharge;  human;  laboratory test;  leukocyte count;  male;  pericardial effusion;  pericardiocentesis;  pericardiotomy;  pericarditis;  postoperative care;  postoperative period;  recurrent disease;  skin fistula;  sternotomy;  Streptococcus infection;  Streptococcus milleri;  surgical drainage;  tachycardia;  treatment failure",
    abstract = "Bacterial pericarditis caused by Streptococcus Milleri Group (SMG) strains is a particularly exceptional pathology. All the eight previous reported cases were under the care of medical teams and the seven existed reports in medical journals were more or less from this perspective. Herein, we reported a unique case of a pericardial-cutaneous fistula resulting from a recurrent purulent pericardial effusion caused by SMG strains, which had been treated with open surgical drainage two months before. A thorough review of the surgical treatment options and the results has also been presented. © 2015, Iranian Cardiovascular Research Journal. All rights reserved."
}