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He was treated with 4 weeks of intravenous ceftriaxone with complete clinical recovery. The source of infection was most likely the sternal wound which was overlooked during debridement and rewiring surgery.<\/jats:p>","DOI":"10.1136\/bcr-2020-235862","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T01:35:29Z","timestamp":1598405729000},"page":"e235862","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["<i>Streptococcus anginosus<\/i> purulent pericarditis with cardiac tamponade after coronary artery bypass surgery"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6461-6416","authenticated-orcid":false,"given":"Qiangjun","family":"Cai","sequence":"first","affiliation":[{"name":"Cardiology, University of Texas Medical Branch at Galveston, Angleton, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,8,25]]},"reference":[{"key":"2025082709310205000_13.8.e235862.1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(93)90592-O"},{"key":"2025082709310205000_13.8.e235862.2","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1136\/hrt.82.3.393","article-title":"Left ventricular pseudoaneurysm complicating infective pericarditis","volume":"82","author":"Moraes","year":"1999","journal-title":"Heart"},{"key":"2025082709310205000_13.8.e235862.3","doi-asserted-by":"crossref","first-page":"E81","DOI":"10.1016\/j.ijcard.2006.04.059","article-title":"Mycotic aneurysm of the left main coronary artery producing acute coronary occlusion and purulent pericarditis","volume":"114","author":"Westover","year":"2007","journal-title":"Int J Cardiol"},{"key":"2025082709310205000_13.8.e235862.4","doi-asserted-by":"publisher","DOI":"10.2143\/AC.57.5.2005459"},{"key":"2025082709310205000_13.8.e235862.5","doi-asserted-by":"publisher","DOI":"10.2165\/00129784-200505020-00004"},{"key":"2025082709310205000_13.8.e235862.6","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-018-1570-x","article-title":"Primary purulent bacterial pericarditis due to Streptococcus intermedius in an immunocompetent adult: a case report","volume":"12","author":"Khan","year":"2018","journal-title":"J Med Case Rep"},{"key":"2025082709310205000_13.8.e235862.7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/ofid\/ofw267","article-title":"Pyogenic pericarditis and cardiac tamponade due to Streptococcus anginosus in a combat Theater","volume":"4","author":"Maves","year":"2017","journal-title":"Open Forum Infect Dis"},{"key":"2025082709310205000_13.8.e235862.8","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.30.1.243-244.1992"},{"key":"2025082709310205000_13.8.e235862.9","unstructured":"Singh KP , Morris A , Lang SD , et al . Clinically significant Streptococcus anginosus (Streptococcus milleri) infections: a review of 186 cases 1988;101:813\u20136."},{"key":"2025082709310205000_13.8.e235862.10","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/19.3.435"},{"key":"2025082709310205000_13.8.e235862.11","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.45.5.1511-1514.2001"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-235862","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:31:09Z","timestamp":1756312269000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-235862"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":11,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2020,8,25]]},"published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1136\/bcr-2020-235862"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-235862","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}