Infective pericarditis in Nigerian children.

Jaiyesimi, F; Abioye, A. A.; Antia, A U

doi:10.1136/adc.54.5.384

Cited by 24 publications

(11 citation statements)

References 24 publications

(14 reference statements)

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“…We saw relatively fewer children with pericardial disease (15 cases or 8.6% of all children with AHD) compared with Lagos where it was the most frequent AHD and Ibadan where it was the second most frequent 81138. On the other hand, Asani et al 10.…”

Section: Discussionmentioning

confidence: 83%

Childhood acquired heart diseases in Jos, north central Nigeria

2013

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Background:The patterns of childhood acquired heart diseases (AHD) vary in different parts of the world and may evolve over time. We aimed to compare the pattern of childhood AHD in our institution to the historical and contemporary patterns in other parts of the country, and to highlight possible regional differences and changes in trend.Materials and Methods:Pediatric echocardiography records spanning a period of 10 years were reviewed. Echocardiography records of children with echocardiographic or irrefutable clinical diagnoses of AHD were identified and relevant data extracted from their records.Results:One hundred and seventy five children were diagnosed with AHD during the period, including seven that had coexisting congenital heart disease (CHD). They were aged 4 weeks to 18 years (mean 9.84΁4.5 years) and comprised 80 (45.7%) males and 95 (54.3%) females. Rheumatic heart disease (RHD) was the cause of the AHD in 101 (58.0%) children, followed by dilated cardiomyopathy (33 cases, 18.9%) which was the most frequent AHD in younger (under 5 years) children. Other AHD encountered were cor pulmonale in 16 (9.1%), pericardial disease in 15 (8.6%), infective endocarditis in 8 (4.6%) and aortic aneurysms in 2 (1.1%) children. Only one case each of endomyocardial fibrosis (EMF) and Kawasaki Disease were seen during the period.Conclusions:The majority of childhood acquired heart diseases in our environment are still of infectious aeitology, with RHD remaining the most frequent, particularly in older children. Community-based screening and multicenter collaborative studies will help to better describe the pattern of AHD in our country. More vigorous pursuit of the Millennium development goals will contribute to reducing the burden of childhood acquired heart diseases in the country.

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Section: Discussionmentioning

confidence: 83%

Childhood acquired heart diseases in Jos, north central Nigeria

2013

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“…Cardiac failure and PE complicating AHD in some of these children is consistent with a previous study 22 . In a previous study in Nigeria 23 , mycobacterium tuberculosis and staphylococcus aureus were the commonest causative agent of pericarditis. In this study the true prevalence of tuberculous pericarditis could not be determined since it was only evaluated for 11 children.…”

Section: Discussionmentioning

confidence: 95%

Childhood acquired heart disease in Nigeria: an echocardiographic study from three centres

Wilson¹,

Chinyere²,

Daniels³

2014

Afr H. Sci.

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Introduction: Acquired heart diseases (AHD) are not uncommon in children. The current multi-center study aims to provide a more representative data of AHD in Nigeria. Methods: Over 42 months, children referred for echocardiographic evaluation who had confirmed AHD in three centers in Nigeria were recruited. The data was collected on biodata and types of AHD. Results: There were 116 children with 132 cases of AHD, with a mean age of 6.7 ± 5.7 years. The males were 63(54.3%). Myocarditis/ dilated cardiomyopathy (DCM) 38(28.8%) was the commonest AHD followed by pericarditis 34 (25.8%), rheumatic heart disease (RHD) 23 (17.4%) and hypertrophic cardiomyopathy 18(13.6%). Endomyocardial fibrosis (EMF) 3(2.3%) was uncommon. Conclusion: Nigerian children face a quadruped of AHD namely, myocarditis, DCM, pericardial disease and RHD. As other types of AHD other than RHD are becoming prevalent, there is need to improve the scope of intervention facilities in the country to meet with the demands of the growing afflictions.

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“…Purulent pericarditis is a very unusual complication of neonatal sepsis. Approximately 20 cases of proven bacterial origin have been reported within the past 50 years [18,[507][508][509][510][511][512][513][514][515][516][517][518]. No single causative agent has predominated.…”

Section: Pericarditismentioning

confidence: 99%

“…No single causative agent has predominated. S. aureus was responsible for seven cases [18,[507][508][509]; E. coli was isolated from three patients [509,514,515]; Haemophilus influenzae was found in two cases [510,517]; and Salmonella wichita [511], Klebsiella [518], and P. aeruginosa [516] were isolated from single cases. One early review of Pseudomonas sepsis described suppurative pericarditis in four neonates [512].…”

Section: Pericarditismentioning

confidence: 99%