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[Cardiac tamponade and chambered pericardial effusion complicating hemophilus influenzae pericarditis (author's

G Rupprath, J Vogt, H Hartung

    Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde
    |September 1, 1980
    PubMed

    Insights

    A rare case of primary pericarditis and cardiac tamponade caused by Hemophilus influenzae in a child is detailed. Echocardiography proved superior to CT scans in localizing complex pericardial effusions.

    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Cardiology

    Background:

    • Primary pericarditis is uncommon in children.
    • Cardiac tamponade requires prompt diagnosis and intervention.

    Observation:

    • A 9-year-old girl presented with primary pericarditis and cardiac tamponade.
    • The condition was attributed to Hemophilus influenzae infection.
    • Meningitis and other organ involvement were ruled out.

    Findings:

    • Despite three weeks of pericardial drainage, a complex, chambered pericardial effusion developed.
    • Cross-sectional echocardiography provided more precise localization of the effusion compared to axial computerized tomography.

    Implications:

    • This case highlights Hemophilus influenzae as a potential cause of pediatric pericarditis.
    • Echocardiography is a valuable tool for managing complex pericardial effusions in children.
    • Early and accurate diagnosis is crucial for effective treatment of pediatric cardiac emergencies.

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