Abstract
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.
Learning objective
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.
Keywords
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Article info
Publication history
Published online: June 14, 2022
Accepted:
May 10,
2022
Received in revised form:
April 8,
2022
Received:
December 4,
2021
Identification
Copyright
© 2022 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. All rights reserved.
