Bansal Neha, Walters Henry L, Kobayashi Daisuke
Division of Cardiology, Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA.
Division of Cardiothoracic Surgery, Department of Surgery, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA.
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):NP125-NP128. doi: 10.1177/2150135117742651. Epub 2018 Mar 5.
Purulent pericarditis is a rare infectious disease with significant mortality, even in the modern antibiotic era. The presenting signs can often be subtle and patients can deteriorate rapidly with cardiac tamponade. We report a previously healthy 16-month-old female who developed purulent pericarditis associated with paronychia and sepsis caused by methicillin-sensitive . In addition to antibiotic treatment, she required emergent pericardiocentesis for cardiac tamponade, followed by two surgical interventions including full median sternotomy incision and partial pericardiectomy. At 4-month follow-up, she did well with no evidence of constrictive pericarditis on echocardiogram.
脓性心包炎是一种罕见的感染性疾病，即使在现代抗生素时代，其死亡率也很高。临床表现往往不明显，患者可能因心脏压塞而迅速恶化。我们报告一例此前健康的16个月大女性，她患了与甲沟炎及由甲氧西林敏感菌引起的败血症相关的脓性心包炎。除抗生素治疗外，她因心脏压塞需要紧急心包穿刺术，随后进行了两次手术干预，包括全胸骨正中切开和部分心包切除术。在4个月的随访中，她情况良好，超声心动图显示没有缩窄性心包炎的迹象。
