1. Purulent pericarditis in children: is pericardiotomy needed?
- Author
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Megged O, Argaman Z, and Kleid D
- Subjects
- Cardiac Tamponade diagnostic imaging, Cardiac Tamponade etiology, Child, Preschool, Combined Modality Therapy, Emergencies, Female, Humans, Infant, Intensive Care Units, Pediatric, Pericarditis drug therapy, Pericarditis, Constrictive prevention & control, Pneumococcal Infections complications, Pneumococcal Infections diagnosis, Pneumococcal Infections drug therapy, Pneumococcal Infections surgery, Retrospective Studies, Staphylococcal Infections diagnosis, Staphylococcal Infections drug therapy, Staphylococcal Infections surgery, Streptococcal Infections diagnosis, Streptococcal Infections drug therapy, Streptococcal Infections surgery, Suppuration, Ultrasonography, Interventional, Urokinase-Type Plasminogen Activator administration & dosage, Urokinase-Type Plasminogen Activator therapeutic use, Anti-Bacterial Agents therapeutic use, Catheterization methods, Drainage methods, Pericardiectomy, Pericardiocentesis, Pericarditis surgery, Staphylococcal Infections complications, Streptococcal Infections complications, Streptococcus pyogenes isolation & purification, Unnecessary Procedures
- Abstract
Objectives: This study aimed to describe our experience with pediatric bacterial pericarditis and review the optimal therapy for this entity., Methods: This is a retrospective study in a pediatric intensive care unit in a university hospital. Three children were diagnosed with purulent pericarditis. They were all treated with antibiotics, echocardiography-guided pericardial fluid drainage, and placement of a pericardial catheter, with no need for thoracotomy or pericardial window., Results: All 3 children fully recovered, and none developed constrictive pericarditis., Conclusions: Children with purulent pericarditis usually can be treated with antibiotics and drainage of pericardial effusion, with no need for thoracotomy or pericardial window.
- Published
- 2011
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