Association Between Parapneumonic Effusion and Pericardial Effusion in a Pediatric Cohort

Roberts, J. E. H.; Bezack, Brian J.; Winger, David; Pollack, Simcha; Shah, Rakesh; Cataletto, Mary; Katz, Douglas S.; Montoya-Iraheta, Carlos; Schroeder, Scott A.; Quintos-Alagheband, Maria Lyn

doi:10.1542/peds.2008-0171

Cited by 11 publications

(11 citation statements)

References 10 publications

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“…Accumulation of fluid between the heart and the pericardial sac, or pericardial effusion, is rare in childhood but may co-exist with parapneumonic effusion, particularly left-sided cases, simply due to the proximity of the pleura and pericardium [71,72]. Most of these associated pericardial effusions improve with treatment of the underlying infection but urgent echocardiography should be considered in cases of haemodynamic compromise as pericardiocentesis may be required [73].…”

Section: Pericardial Effusionmentioning

confidence: 99%

Complicated pneumonia in children

Pabary

Balfour‐Lynn

2013

BRE

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Section: Pericardial Effusionmentioning

confidence: 99%

Complicated pneumonia in children

Pabary

Balfour‐Lynn

2013

BRE

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“…Finally, children with parapneumonic effusion should be carefully observed for signs and symptoms of haemodynamic deterioration due to pericardial effusion 90 98 99. Although the amount of pericardial fluid is usually very small and does not give rise to symptoms, pericardiocentesis is sometimes needed.…”

Section: Treating Complicationsmentioning

confidence: 99%

Management of severe community-acquired pneumonia of children in developing and developed countries

Principi

Esposito

2010

Thorax

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Childhood community-acquired pneumonia (CAP) is common, and recent data have shown that the number of children with severe CAP is increasing worldwide. Regardless of geographical area, severe cases are those at the highest risk of hospitalisation, prolonged hospitalisation and death, and therefore require prompt identification and the most effective treatment in order to reduce CAP-related morbidity and mortality. This review evaluates the available data concerning the diagnosis and treatment of severe and/or complicated cases of paediatric CAP in developed and developing countries. It also underlines the fact that any evidence-based recommendations require more research in various areas, including the aetiology of severe cases and the reasons for the complications, the better definition of first-choice antibiotic treatment and when surgery may be useful, and the role of chest physiotherapy.

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“…A surprisingly high incidence of pericardial effusion concomitant with PE has been reported in the very sick child [27]. However, specific treatment is rarely needed.…”

Section: Imagingmentioning

confidence: 99%