Infectious and Noninfectious Acute Pericarditis in Children: An 11-Year Experience
Joint Authors
Abdel-Haq, Nahed
Moussa, Zeinab
Farhat, Mohamed Hani
Chandrasekar, Leela
Asmar, Basim I.
Source
International Journal of Pediatrics
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-08
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Objective.
The study was undertaken to determine the etiology, review management, and outcome in children diagnosed with acute pericarditis during 11 years at tertiary pediatric institution.
Methods.
Retrospective chart review of children diagnosed between 2004 and 2014.
Patients with postsurgical pericardial effusions were excluded.
Results.
Thirty-two children were identified (median age 10yr/11mo).
Pericardiocentesis was performed in 24/32 (75%) patients.
The most common cause of pericarditis was infection in 11/32 (34%), followed by inflammatory disorders in 9 (28%).
Purulent pericarditis occurred in 5 children including 4 due to Staphylococcus aureus: 2 were methicillin resistant (MRSA).
All patients with purulent pericarditis had concomitant infection including soft tissue, bone, or lung infection; all had pericardial drain placement and 2 required pericardiotomy and mediastinal exploration.
Other infections were due to Histoplasma capsulatum (2), Mycoplasma pneumoniae (2), Influenza A (1), and Enterovirus (1).
Pericarditis/pericardial effusion was the initial presentation in 4 children with systemic lupus erythematosus including one who presented with tamponade and in 2 children who were diagnosed with systemic onset juvenile inflammatory arthritis.
Tumors were diagnosed in 2 patients.
Five children had recurrent pericarditis.
Systemic antibiotics were used in 21/32 (66%) and prednisone was used in 11/32 (34%) patients.
Conclusion.
Infections remain an important cause of pericarditis in children.
Purulent pericarditis is most commonly caused by Staphylococcus aureus and is associated with significant morbidity, need of surgical intervention, and prolonged antibiotic therapy.
Echocardiography-guided thoracocentesis remains the preferred diagnostic and therapeutic approach.
However, pericardiotomy and drainage are needed when appropriate clinical response is not achieved with percutaneous drainage.
American Psychological Association (APA)
Abdel-Haq, Nahed& Moussa, Zeinab& Farhat, Mohamed Hani& Chandrasekar, Leela& Asmar, Basim I.. 2018. Infectious and Noninfectious Acute Pericarditis in Children: An 11-Year Experience. International Journal of Pediatrics،Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1174651
Modern Language Association (MLA)
Abdel-Haq, Nahed…[et al.]. Infectious and Noninfectious Acute Pericarditis in Children: An 11-Year Experience. International Journal of Pediatrics No. 2018 (2018), pp.1-12.
https://search.emarefa.net/detail/BIM-1174651
American Medical Association (AMA)
Abdel-Haq, Nahed& Moussa, Zeinab& Farhat, Mohamed Hani& Chandrasekar, Leela& Asmar, Basim I.. Infectious and Noninfectious Acute Pericarditis in Children: An 11-Year Experience. International Journal of Pediatrics. 2018. Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1174651
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1174651