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July 4, 1990

Purulent Pericarditis Caused by Group G Streptococcus

Author Affiliations

Hennepin County Medical Center Minneapolis, Minn

Hennepin County Medical Center Minneapolis, Minn

JAMA. 1990;264(1):34-35. doi:10.1001/jama.1990.03450010038016

To the Editor.—  Group G streptococcus may be found as a member of the normal microbial flora of the skin, pharynx, vagina, and gastrointestinal tract.1,2 Endocarditis, endovascular infections, and septic arthritis are the most common syndromes caused by group G streptococcus.3 So far, group G streptococcus has not been identified as an etiological agent in purulent pericarditis. We report a case of a man with cardiac tamponade, secondary to purulent pericarditis caused by group G streptococcus.

Report of a Case.—  A 43-year-old male Native American with a medical history of long-term alcohol abuse was brought to the emergency department after a history of vomiting for 3 days and coffee-ground—color emesis on the day of admission. He also complained of a fever with chills 24 hours prior to admission. In the emergency department his blood pressure was 88/60 mm Hg; pulse rate, 106 beats per minute; and temperature, 37.7°C.