Pericarditis purulenta primaria por Streptococcus pneumoniae, a propósito de un caso clínico

Translated title of the contribution: Primary purulent pericarditis by Streptococcus pneumoniae. Case - Report and literature review

Alejandro Donoso F., Franco Díaz Rubio, Katalina Bertrán S., Pablo Cruces R.

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background: Purulent pericarditis has become a rare clinical entity since the onset of antimicrobial therapy and has a poor outcome in the majority of cases. Case-report: A healthy 3 month-old patient admitted with dyspnea, pallor and anorexia, developing cardiogenic shock due to cardiac tamponade. Chest X-ray showed cardiomegaly. He required mechanical ventilation, volume resuscitation and vasoactive drugs. Echocardiogram showed a large pericardial effusion, CT scan ruled out lung and mediastinal infection. Pericardial drainage was performed and Vancomycin plus Ceftriaxone were initiated, with a positive blood culture for Penicillin-sensitive Streptococcus pneumoniae. The evolution was favourable after surgical drainage and controlling the infection. No extraperdicardial infection was found. He received 3 weeks of antibiotic therapy. Immunological studies were normal. Conclusion: Primary purulent pericarditis is uncommon, so early detection and treatment of this life-threatening condition may lead to a good outcome.

Translated title of the contributionPrimary purulent pericarditis by Streptococcus pneumoniae. Case - Report and literature review
Original languageSpanish
Pages (from-to)623-628
Number of pages6
JournalRevista Chilena de Pediatria
Volume79
Issue number6
Publication statusPublished - Dec 2008

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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