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

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

Resultado de la investigación: Article

Resumen

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.

Idioma originalSpanish
Páginas (desde-hasta)623-628
Número de páginas6
PublicaciónRevista Chilena de Pediatria
Volumen79
N.º6
EstadoPublished - dic 2008

Huella dactilar

Pericarditis
Streptococcus pneumoniae
Drainage
Infection
Pallor
Cardiac Tamponade
Cardiogenic Shock
Pericardial Effusion
Ceftriaxone
Cardiomegaly
Anorexia
Vancomycin
Artificial Respiration
Resuscitation
Penicillins
Dyspnea
Thorax
Therapeutics
X-Rays
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Citar esto

Donoso F., Alejandro ; Díaz Rubio, Franco ; Bertrán S., Katalina ; Cruces R., Pablo. / Pericarditis purulenta primaria por Streptococcus pneumoniae, a propósito de un caso clínico. En: Revista Chilena de Pediatria. 2008 ; Vol. 79, N.º 6. pp. 623-628.
@article{6a5c91b68a344501b92c33e337a82600,
title = "Pericarditis purulenta primaria por Streptococcus pneumoniae, a prop{\'o}sito de un caso cl{\'i}nico",
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.",
keywords = "Cardiac tamponade, Pericarditis, Purulent pericarditis, Streptococcus pneumoniae",
author = "{Donoso F.}, Alejandro and {D{\'i}az Rubio}, Franco and {Bertr{\'a}n S.}, Katalina and {Cruces R.}, Pablo",
year = "2008",
month = "12",
language = "Spanish",
volume = "79",
pages = "623--628",
journal = "Revista Chilena de Pediatria",
issn = "0370-4106",
publisher = "Sociedad Chilena de Pediatria",
number = "6",

}

Pericarditis purulenta primaria por Streptococcus pneumoniae, a propósito de un caso clínico. / Donoso F., Alejandro; Díaz Rubio, Franco; Bertrán S., Katalina; Cruces R., Pablo.

En: Revista Chilena de Pediatria, Vol. 79, N.º 6, 12.2008, p. 623-628.

Resultado de la investigación: Article

TY - JOUR

T1 - Pericarditis purulenta primaria por Streptococcus pneumoniae, a propósito de un caso clínico

AU - Donoso F., Alejandro

AU - Díaz Rubio, Franco

AU - Bertrán S., Katalina

AU - Cruces R., Pablo

PY - 2008/12

Y1 - 2008/12

N2 - 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.

AB - 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.

KW - Cardiac tamponade

KW - Pericarditis

KW - Purulent pericarditis

KW - Streptococcus pneumoniae

UR - http://www.scopus.com/inward/record.url?scp=66049087864&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:66049087864

VL - 79

SP - 623

EP - 628

JO - Revista Chilena de Pediatria

JF - Revista Chilena de Pediatria

SN - 0370-4106

IS - 6

ER -