TY - JOUR
T1 - Acute pericarditis caused by Streptococcus pneumoniae in young infants and children
T2 - Three case reports and a literature review
AU - Feinstein, Yael
AU - Falup-Pecurariu, Oana
AU - Mitricǎ, Maria
AU - Berezin, Eitan N.
AU - Sini, Rodrigo
AU - Krimko, Hana
AU - Greenberg, David
PY - 2010/2/1
Y1 - 2010/2/1
N2 - We 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.
AB - We 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.
KW - Children
KW - Pneumococcal pericarditis
KW - Streptococcus pneumoniae
UR - http://www.scopus.com/inward/record.url?scp=76449106937&partnerID=8YFLogxK
U2 - 10.1016/j.ijid.2009.03.033
DO - 10.1016/j.ijid.2009.03.033
M3 - Article
C2 - 19570702
AN - SCOPUS:76449106937
SN - 1201-9712
VL - 14
SP - e175-e178
JO - International Journal of Infectious Diseases
JF - International Journal of Infectious Diseases
IS - 2
ER -