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[Pulmonary embolism in childhood].
Summary
Pulmonary embolism (PE) is rare in children, with only seven cases diagnosed between 1971-1982. Septic embolism was the most common cause, highlighting the need for prophylactic anticoagulation in immobilized children over 10 with sepsis.
Area of Science:
- Pediatric Medicine
- Cardiovascular Research
- Infectious Diseases
Context:
- A retrospective analysis of pediatric patients undergoing surgery and medical treatment between 1971 and 1982.
- Investigated the incidence and causes of pulmonary embolism (PE) in a large cohort of 60,000 patients.
Purpose:
- To determine the frequency and etiological factors of pulmonary embolism in pediatric patients.
- To identify risk factors and recommend preventive strategies for PE in children.
Summary:
- Seven cases of pulmonary embolism were diagnosed in pediatric patients over a 10-year period.
- The majority of cases (six) were septic emboli originating from conditions like endocarditis, osteomyelitis, and coxitis.
- One case resulted from ileofemoral thrombosis following appendicitis surgery. Staphylococcus aureus was identified in three cases of osteomyelitis and coxitis.
Impact:
- Highlights the low incidence of pulmonary embolism in pediatric populations.
- Emphasizes the significant role of septic emboli as a cause of PE in children.
- Recommends prophylactic anticoagulation for immobilized children over 10 years old with septic processes to prevent PE.