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Constrictive pericarditis due to Streptococcus sanguis

D L Callanan, M J Morriss, S L Kaplan

    Southern Medical Journal
    |March 1, 1981
    PubMed

    Insights

    This case study details anaerobic streptococci pericarditis in children. Prompt surgical intervention, pericardiectomy, proved life-saving despite antibiotics and drainage.

    Area of Science:

    • Pediatric Cardiology
    • Infectious Diseases
    • Thoracic Surgery

    Background:

    • Pericarditis in children is uncommon.
    • Anaerobic streptococci are a rare cause of pericarditis.
    • Early diagnosis and treatment are crucial for favorable outcomes.

    Observation:

    • The third reported pediatric case of pericarditis caused by anaerobic streptococci.
    • Rapid progression to constrictive pericarditis despite standard treatment.
    • Patient presented with symptoms indicative of severe pericardial inflammation.

    Findings:

    • Standard treatment including operative drainage and high-dose penicillin was insufficient.
    • Constrictive pericarditis developed rapidly.
    • Complete pericardiectomy was required for patient survival.

    Implications:

    • Highlights the aggressive nature of anaerobic streptococci pericarditis in pediatric patients.
    • Underscores the importance of considering surgical intervention in refractory cases.
    • Emphasizes pericardiectomy as a potentially life-saving procedure for advanced constrictive pericarditis.

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