Purulent Pericarditis in an Immunocompetent Young Child
Makaleler > Vaka Takdimi · 2024
Yazarlar: ŞEYMA ŞEBNEM ÖN, AHMET BOZKURT, FIRAT ERGİN, BURCUGÜL KARASULU, KÜBRA CEBECİ, Pınar YAZICI ÖZKAYA, Bülent KARAPINAR, Eser DOĞAN, Osman Nuri TUNCER, Zülal ÜLGER TUTAR
The Journal of Pediatric Research, ESCI İndekslerine Giren Dergi, Uluslararası, Emerging Sources Citation Index (ESCI), 2024, cilt 11, ss 181-184
DOI: 10.4274/jpr.galenos.2024.67944
Özet
Purulent pericarditis in children is a life-threatening condition causing cardiac tamponade and disrupting the hemodynamic status of the patient.It has been associated with high mortality if treatment is delayed.Furthermore, purulent pericarditis may lead to constrictive pericarditis in the long term if not fully treated.Acute purulent pericarditis should be seriously considered in every septic child presenting with signs of right heart decompensation.Echocardiography is important for diagnosis.Diagnostic pericardiocentesis should be performed.Recent experience shows that excellent results can be obtained when adequate surgical drainage and antibiotic therapy are combined.We report a case of purulent bacterial pericarditis caused by methicillin-resistant Staphylococcus aureus in an immunocompetent young child presenting with sepsis.The patient was successfully treated with a combined medical and early surgical approach.