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J Pediatr Infect Dis 2011; 06(02): 149-154
DOI: 10.3233/JPI-2011-0310
Georg Thieme Verlag KG Stuttgart – New York

Pericardial tamponade caused by pneumococcus in a 6-month-old child

Srinivasarao Badugu
a   Department of Pediatric Critical Care, Shands Children's Hospital, University of Florida, Gainesville, FL, USA
b   Department of Pediatric Cardiology, Shands Children's Hospital, University of Florida, Gainesville, FL, USA
,
Jai Prakash Udassi
a   Department of Pediatric Critical Care, Shands Children's Hospital, University of Florida, Gainesville, FL, USA
b   Department of Pediatric Cardiology, Shands Children's Hospital, University of Florida, Gainesville, FL, USA
,
Saidi Arwa
b   Department of Pediatric Cardiology, Shands Children's Hospital, University of Florida, Gainesville, FL, USA
,
Nicholas Slamon
a   Department of Pediatric Critical Care, Shands Children's Hospital, University of Florida, Gainesville, FL, USA
› Author Affiliations
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Publication History

17 December 2010

09 March 2011

Publication Date:
28 July 2015 (online)

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Abstract

With the widespread use of antibiotics, cases of pneumococcal pericarditis in infants and children have decreased significantly. Since the implementation of routine heptavalent pneumococcal immunization in 2000, these cases have become even rarer. While rare and life threatening, patients with invasive pneumococcal infections usually have a good outcome if diagnosed early and treated adequately. Since 1980, we found reports of only 13 children with pneumococcal pericarditis in PubMed. We describe another case of invasive pneumococcal infection in an infant with purulent pericarditis leading to tamponade and constrictive pericarditis.

Keywords

Pneumococcus - pericarditis - infant - tamponade