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Purulent pericarditis secondary to influenza and community-acquired methicillin-resistant Staphylococcus aureus

Kavita Morparia1, Courtney Peshkovsky2, Meena Kalyanaraman1

  • 11Department of Pediatric Critical Care Medicine,Children's Hospital of New Jersey,Newark Beth Israel Medical Center,Newark,NJ,USA.

Cardiology in the Young
|September 18, 2018
PubMed

Insights

Purulent pericarditis is rare but can occur even with antibiotics. This case highlights subtle abdominal symptoms in a child with influenza and Staphylococcus aureus co-infection, emphasizing prompt surgical drainage for recovery.

Area of Science:

  • Pediatric Infectious Diseases
  • Cardiology
  • Critical Care Medicine

Background:

  • Purulent pericarditis is an uncommon cardiac emergency, particularly in the antibiotic era.
  • Co-infections with influenza and bacteria like Staphylococcus aureus can complicate diagnosis.

Observation:

  • A previously healthy child presented with subtle symptoms, including significant abdominal pain, despite receiving appropriate antibiotics.
  • Echocardiography was crucial in identifying the purulent pericarditis.

Findings:

  • The case involved co-infection with influenza and community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA).
  • Despite early antibiotic treatment, the clinical presentation was atypical, masking the cardiac involvement.

Implications:

  • This case underscores the importance of considering purulent pericarditis even with subtle presentations and appropriate antibiotic use.
  • Prompt surgical intervention, alongside medical management, is critical for favorable outcomes in pediatric purulent pericarditis.
  • Highlights the diagnostic challenge of purulent pericarditis in co-infected pediatric patients.
Keywords:
Pericardial effusioninfluenzaintensive carepericardial tamponadepericarditis

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