Acute purulent pericarditis in pneumococcal meningitis

Blohm, Martin; Schroten, Horst; Heusch, A.; Christaras, A.; Micek, Mario; Wintgens, Juergen; Mayatepek, Ertan; Hoehn, Thomas

doi:10.1007/s00134-005-2676-3

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“…We found only one case reported in the literature of purulent pericarditis caused by pneumococcus in a 17 year-old girl with meningitis. 21 The incidence of pericarditis in meningococcal disease (3-19%) is higher than that in invasive pneumococcal disease. 3 , 15 Sagristà-Sauleda et al identified 33 cases of purulent pericarditis in a hospital population of 593,601 in a 20-year period.…”

Section: Discussionmentioning

confidence: 99%

Associação De Meningite E Pericardite Na Doença Pneumocócica Invasiva: Um Caso Raro

Souza

Nadal

Lopes

et al. 2019

Rev. paul. pediatr.

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Purulent pericarditis has become a rare complication of invasive pneumococcal disease since the advent of antibiotic therapy. Patients with extensive pneumonia are primarily predisposed and, even with early and adequate treatment, are prone to high mortality rates. The association of pneumococcal meningitis and pericarditis is uncommon, and therefore difficult to diagnose. As such, diagnostic suspicion must be high in order to institute early treatment and increase survival.

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Section: Discussionmentioning

confidence: 99%