192 PURULENT PERICARDITIS (PP)–CHANGING ETIOLOGY AND TREATMENT

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Actinomyces odontolyticus: Rare Etiology for Purulent Pericarditis

Purulent pericarditis is one of the most common causes of cardiac tamponade and if left untreated has a mortality of 100%. Staphylococcus aureus and Streptococcus pneumonia have been implicated as the main etiology of purulent pericardial effusion followed by fungi and anaerobic sources. Actinomyces odontolyticus pericardial involvement has been reported in the literature only once. To our know...

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Purulent pericarditis.

Purulent pericarditis is an infrequent, but important complication of infective illnesses, in particular pneumonia, which if diagnosed early has a good prognosis. The incidence of the condition is probably increasing, particularly in the immuno-compromised group of patients. 'Classical' symptoms and signs are often absent, and a high index of awareness is required to diagnose the condition. Thi...

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Purulent pericarditis.

Eleven children under 16 years of age with purulent pericarditis were seen in one hospital in one year. The condition was always secondary to a septic focus elsewhere, usually staphylococcal pneumonia; its incidence after pneumonia was 0.64%, but this may be an underestimate. Clinical diagnosis can be difficult in patients with pneumonia as the heart is not always enlarged. Persistent or progre...

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Purulent pericarditis.

5. A 73-year-old woman on hemodialysis presents with fever, chest pain, leukocytosis, and an enlarged cardiac silhouette. What would be the most common sign indicating impending tamponade? (A) Bradycardia (B) Hypertension (C) Pericardial rub (D) Tachycardia (E) Tachypnea 6. A 22-year-old woman diagnosed with pericarditis has an elevated cardiac troponin value on initial testing. What is the app...

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ژورنال

عنوان ژورنال: Pediatric Research

سال: 1981

ISSN: 0031-3998,1530-0447

DOI: 10.1203/00006450-198104001-00201