Mixed germ cell tumors are rare tumors that are located mainly in the gonads and occasionally in extra-gonadal locations. Purulent pericarditis is a rare disease in the presence of antibiotic treatment. We present a case about the association of these two rare conditions in a 29-year-old male patient presenting with tamponade with a subsequent diagnosis of mediastinal mixed germ cell tumor and purulent pericarditis with empyema caused by Escherichia coli.
Although pericarditis with Escherichia coli is rare, it is still possible. The first clinical manifestation of some tumors may be pericardial tamponade, and at this point, the focus must be on emergency management of the patient to save a life before reaching the diagnosis.
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Published online: June 14, 2022
Accepted: May 10, 2022
Received in revised form: April 8, 2022
Received: December 4, 2021
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