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Related Experiment Videos

Purulent pericarditis in children.

P J Garvin, R K Danis, J E Lewis

    Surgery
    |October 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Successful treatment of acute purulent pericarditis in children was achieved using prompt diagnosis and intervention. An aggressive approach, including subxyphoid drainage, ensured survival without sequelae.

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    Area of Science:

    • Pediatric Cardiology
    • Infectious Diseases

    Background:

    • Acute purulent pericarditis is a rare but serious condition in children.
    • Early diagnosis and treatment are crucial for favorable outcomes.

    Observation:

    • Five pediatric cases of acute purulent pericarditis were successfully treated.
    • Causative organisms included Hemophilus influenzae type b, Meningococcus, Pneumococcus, and Staphylococcus aureus.

    Findings:

    • Diagnosis was facilitated by echocardiograms and pericardiocentesis.
    • Antibiotic therapy was guided by Gram stain results.
    • All patients underwent pericardial window placement, primarily via the subxyphoid approach.

    Implications:

    • The subxyphoid approach is a safe, effective, and easily performed method for pericardial drainage in children.

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  • An aggressive diagnostic and therapeutic strategy is recommended for pediatric purulent pericarditis.