Acute pericarditis caused by Streptococcus pneumoniae in young infants and children: Three case reports and a literature review

Autor: David Greenberg, Oana Falup-Pecurariu, Hana Krimko, Maria Mitrică, Eitan Namaan Berezin, Rodrigo Sini, Yael Feinstein
Rok vydání: 2010
Předmět:
Zdroj: International Journal of Infectious Diseases. 14:e175-e178
ISSN: 1201-9712
DOI: 10.1016/j.ijid.2009.03.033
Popis: SummaryWe present three cases of pericarditis caused by Streptococcus pneumoniae diagnosed in children. The presenting symptoms were fever, dyspnea, tachycardia, and hepatomegaly. Chest X-rays showed an enlarged heart silhouette and echocardiographic examination revealed a pericardial effusion in all cases. S. pneumoniae was recovered from the pericardial fluid and/or blood in all cases. Systemic antibiotic treatment and dopaminergic agents were used; all patients recovered completely. Another 10 cases of S. pneumoniae pericarditis in children reported since 1980 are presented. Most cases had preceding respiratory symptoms and had a good outcome. While rare and life-threatening, pericarditis caused by S. pneumoniae has a good outcome if diagnosed early and treated adequately.
Databáze: OpenAIRE