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Purulent pericarditis and mediastinal abscess in a young infant
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Journal Article
Purulent pericarditis and mediastinal abscess in a young infant
2020
Overview
On admission, she was tachycardic, had cool peripheries with normal central perfusion, pulse volume and blood pressure. Echocardiography was requested for possible atypical Kawasaki disease and it demonstrated a large echogenic pericardial effusion with fibrous strands, indicative of purulent pericarditis, along with evidence of impending temponade (figure 1). Purulent pericarditis is a life-threatening condition with increased risk of constrictive pericarditis.6 Treatment delay has been associated with high mortality due to cardiac tamponade.6 Clinical features of purulent pericarditis include chest pain, tachycardia (out of proportion to the degree of fever), hypotension, pulsus paradoxus tachypnoea and pericardial friction rub.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD,BMJ Publishing Group
