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Infective pericarditis in Nigerian children.

F Jaiyesimi, A A Abioye, A U Antia

    Archives of Disease in Childhood
    |May 1, 1979
    PubMed
    Summary

    Infective pericarditis in children is often misdiagnosed, with high mortality. Suspect cardiac failure in children with lung infections to improve diagnosis and treatment outcomes.

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    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Cardiology

    Background:

    • Infective pericarditis presents diagnostic challenges in pediatric patients.
    • Early recognition is crucial due to high mortality rates.

    Purpose of the Study:

    • To analyze the clinical features, pathogens, and outcomes of infective pericarditis in children.
    • To highlight diagnostic difficulties and suggest improved diagnostic approaches.

    Main Methods:

    • Retrospective review of 53 pediatric cases of infective pericarditis from 1967-1976.
    • Analysis of patient demographics, symptoms, identified pathogens, associated infections, and mortality.

    Main Results:

    • Most cases (53%) occurred in children aged 5 years or younger.
    • Common pathogens included Mycobacterium tuberculosis and Staphylococcus aureus.
    • Diagnostic errors were frequent (72% missed ante-mortem), and mortality was high (36%).

    Conclusions:

    • Cardiac decompensation in children with bronchopneumonia, empyema, or lung abscess should prompt suspicion of infective pericarditis.
    • Improved diagnostic awareness is critical for reducing mortality in pediatric infective pericarditis.

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