Journal of the Korean Pediatric Society 2000;43(9):1279-1284.
Published online September 15, 2000.
A Case of Constrictive Pericarditis with Purulent Effusion in an Infant
Kyoung Hee Kim1, Yoon Ki Kang1, Min Ho Kim2, Chan Uhng Joo1
1Department of Pediatrics, Institute of Cardiovascular Research, Chonbuk National University Medical School, Chonju, Korea
2Department of Thoracic & Cardiovascular Surgery, Chonbuk National University Medical School, Chonju, Korea
영아에서 발생한 화농성 삼출액을 동반한 긴축성 심막염 1례
김경희1, 강윤기1, 김민호2, 주찬웅1
1전북대학교 의과대학 소아과학교실, 심혈관 연구소
2전북대학교 의과대학 흉부외과학교실
Abstract
Constrictive pericarditis is a rare disease of infancy and childhood, and is almost always caused by a tuberculosis or other infection. It is usually fatal, if untreated in acute phase. Early diagnosis of this condition is now facilitated by echocardiography and computerized tomography. Favorable outcome seems to depend on early diagnosis assured by echocardiography, early surgical treatment such as pericardiocentesis or pericardiectomy, and appropriate antibiotic treatment according to culture and sensitivity test. We report a case of constrictive pericarditis with severe purulent effusion in a 11-month-old female who presented with fever, irritability and hepatomegaly, and was treated with pericardiectomy and antibiotics.
Key Words: Constrictive pericarditis, Pericardiectomy


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