Key result
Streptococcus pyogenes purulent pericarditis leads to a 4.8 cm mycotic aneurysm compressing the pulmonary trunk.
Case Report (n=1)
This case highlights a rare complication of Streptococcus pyogenes purulent pericarditis resulting in a mycotic aneurysm of the ascending aorta with pulmonary trunk compression.
Purulent pericarditis is a rare disease in the era of antibiotics, withStreptococcus pyogenesbeing 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 developStreptococcus pyogenespurulent 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.
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Fry et al. (2018) conducted a case report in Streptococcus pyogenes purulent pericarditis and mycotic pseudoaneurysm (n=1). Streptococcus pyogenes infection was evaluated on Development of mycotic aneurysm and pulmonary trunk compression. An 18-year-old female with Streptococcus pyogenes purulent pericarditis developed a 4.8 cm mycotic aneurysm of the ascending aorta causing compression of the pulmonary trunk.
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