Palanca Arias Daniel, Corella Aznar Elena G, Ayerza Casas Ariadna, Fernández Gómez Alba, López Ramón Marta, Jiménez Montañés Lorenzo
Hospital Infantil Miguel Servet, Zaragoza, Unidad de Cardiología Pediátrica, Unidad de Cuidados Intensivos Pediátricos.
Hospital Infantil Miguel Servet, Zaragoza, Unidad de Pediatría.
Arch Argent Pediatr. 2017 Aug 1;115(4):e237-e242. doi: 10.5546/aap.2017.e237.
Acute pericarditis is the most common disease of the pericardium encountered in clinical practice. It is diagnosed in 0.1% of all admissions and 5% of emergency room admissions for chest pain. In developed countries, it is usually due to a benign cause. Idiopathic and infectious pericarditis are more common than secondary to surgical pericardiotomy or neoplastic causes, whereas tuberculosis is the dominant cause in developing countries. The most common symptoms of pericarditis are characteristic chest pain and fever. Since pericarditis presents a benign outcome because of self-limiting and good response to conventional anti-inflammatory therapy, it can be safely managed on outpatient basis unless a specific cause is suspected or the patient has high-risk features to avoid complications such as pericardial effusion, cardiac tamponade or recurrent pericarditis. We report a case of pericarditis, diagnosed 9 months after surgical closure of an atrial septal defect, in a 7-year-old boy with favorable evolution.
急性心包炎是临床实践中最常见的心包疾病。在所有入院患者中，其诊断率为0.1%，在因胸痛而急诊入院的患者中为5%。在发达国家，它通常由良性病因引起。特发性和感染性心包炎比手术心包切开术或肿瘤性病因继发的心包炎更为常见，而在发展中国家，结核病是主要病因。心包炎最常见的症状是典型的胸痛和发热。由于心包炎因具有自限性且对传统抗炎治疗反应良好而呈现良性转归，因此除非怀疑有特定病因或患者具有高风险特征以避免心包积液、心脏压塞或复发性心包炎等并发症，否则可在门诊安全治疗。我们报告一例7岁男孩在心房间隔缺损手术闭合9个月后诊断为心包炎的病例，其病情进展良好。
