eMedicine Specialties > Pediatrics: Cardiac Disease and Critical Care Medicine > Cardiology

Pericarditis, Bacterial: Multimedia

Author: John Berger, MD, Departments of Critical Care Medicine and Pediatric Cardiology, Assistant Professor, George Washington University and Children's National Medical Center
Contributor Information and Disclosures

Updated: Jul 15, 2008

Multimedia

A 15-lead ECG from a patient with bacterial peric...Media file 1: A 15-lead ECG from a patient with bacterial pericarditis demonstrating marked ST elevation in multiple leads.
A 15-lead ECG from a patient with bacterial peric...

A 15-lead ECG from a patient with bacterial pericarditis demonstrating marked ST elevation in multiple leads.

Left: Chest radiograph in a patient with bacteria...Media file 2: Left: Chest radiograph in a patient with bacterial pericarditis revealing cardiomegaly and left lower lobe infiltrate with marked increase in pulmonary vascular markings. Right: The same patient after placement of a pigtail pericardial catheter and pulmonary artery catheter.
Left: Chest radiograph in a patient with bacteria...

Left: Chest radiograph in a patient with bacterial pericarditis revealing cardiomegaly and left lower lobe infiltrate with marked increase in pulmonary vascular markings. Right: The same patient after placement of a pigtail pericardial catheter and pulmonary artery catheter.

Apical 4-chamber view from a patient with bacteri...Media file 3: Apical 4-chamber view from a patient with bacterial pericarditis. The large pericardial effusion (EF) appears as an echo clear space in this view surrounding the right atrium (RA) and left ventricle (LV). The RA wall is collapsed indicating tamponade. The longer the duration of RA inversion into systole correlates with increasing hemodynamic severity.
Apical 4-chamber view from a patient with bacteri...

Apical 4-chamber view from a patient with bacterial pericarditis. The large pericardial effusion (EF) appears as an echo clear space in this view surrounding the right atrium (RA) and left ventricle (LV). The RA wall is collapsed indicating tamponade. The longer the duration of RA inversion into systole correlates with increasing hemodynamic severity.

This ECG shows markedly decreased QRS voltage and...Media file 4: This ECG shows markedly decreased QRS voltage and electrical alternans (especially in lead V1)
This ECG shows markedly decreased QRS voltage and...

This ECG shows markedly decreased QRS voltage and electrical alternans (especially in lead V1)

More on Pericarditis, Bacterial

Overview: Pericarditis, Bacterial
Differential Diagnoses & Workup: Pericarditis, Bacterial
Treatment & Medication: Pericarditis, Bacterial
Follow-up: Pericarditis, Bacterial
Multimedia: Pericarditis, Bacterial
References

References

  1. Dupuis C, Gronnier P, Kachaner J, et al. Bacterial pericarditis in infancy and childhood. Am J Cardiol. Oct 15 1994;74(8):807-9. [Medline].

  2. Feldman WE. Bacterial etiology and mortality of purulent pericarditis in pediatric patients. Review of 162 cases. Am J Dis Child. Jun 1979;133(6):641-4. [Medline].

  3. Jayashree M, Singhi SC, Singh RS, Singh M. Purulent pericarditis: clinical profile and outcome following surgical drainage and intensive care in children in Chandigarh. Ann Trop Paediatr. Dec 1999;19(4):377-81. [Medline].

  4. Kocheril AG, Luttmann C, Sadaniantz A. Pneumococcal pericarditis successfully treated with catheter drainage and intravenous antibiotics. Cathet Cardiovasc Diagn. Dec 1991;24(4):286-7. [Medline].

  5. Morgan RJ, Stephenson LW, Woolf PK, Singh M. Surgical treatment of purulent pericarditis in children. J Thorac Cardiovasc Surg. Apr 1983;85(4):527-31. [Medline].

  6. Sinzobahamvya N, Ikeogu MO. Purulent pericarditis. Arch Dis Child. Jul 1987;62(7):696-9. [Medline].

  7. Strauss AW, Santa-Maria M, Goldring D. Constrictive pericarditis in children. Am J Dis Child. Jul 1975;129(7):822-6. [Medline].

  8. Zahn EM, Houde C, Benson L, Freedom RM. Percutaneous pericardial catheter drainage in childhood. Am J Cardiol. Sep 1 1992;70(6):678-80. [Medline].

Further Reading

Keywords

bacterial pericarditis, purulent pericarditis, inflammation of the pericardium, bacterial infection, pericardium, pericardial effusion, pneumonia, empyema, tamponade, constrictive pericarditis, Haemophilus influenzae, malnutrition, Staphylococcus aureus, respiratory distress, meningitis, acute myocarditis, acute osteomyelitis, arthritis, soft tissue infection, hypovolemia, small airway obstruction, epiglottitis, asthma, Neisseria meningitidis, Streptococcus pneumoniae, Pseudomonas aeruginosa, Salmonella species, Francisella tularensis, anaerobic bacteria and fungi, Histoplasma species, coccidioidomycosis, blastomycosis, Aspergillus species, Candida species, Mycoplasma pneumoniae

Contributor Information and Disclosures

Author

John Berger, MD, Departments of Critical Care Medicine and Pediatric Cardiology, Assistant Professor, George Washington University and Children's National Medical Center
John Berger, MD is a member of the following medical societies: American Academy of Pediatrics and Society of Critical Care Medicine
Disclosure: Nothing to disclose.

Medical Editor

Ira H Gessner, MD, Professor Emeritus, Pediatric Cardiology
Ira H Gessner, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, American Heart Association, American Pediatric Society, and Society for Pediatric Research
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine.com, Inc
Disclosure: Pfizer Inc Stock Investment from broker recommendation; Avanir Pharma Stock Investment from broker recommendation

Managing Editor

Hugh D Allen, MD, Professor, Department of Pediatrics, Division of Pediatric Cardiology and Department of Internal Medicine, Ohio State University College of Medicine
Hugh D Allen, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, American Heart Association, American Pediatric Society, American Society of Echocardiography, Society for Pediatric Research, Society of Pediatric Echocardiography, and Western Society for Pediatric Research
Disclosure: Nothing to disclose.

CME Editor

Gilbert Herzberg, MD, Assistant Professor, Department of Pediatrics, Section of Pediatric Cardiology, New York Medical College
Gilbert Herzberg, MD is a member of the following medical societies: American Academy of Pediatrics
Disclosure: Nothing to disclose.

Chief Editor

Stuart Berger, MD, Professor of Pediatrics, Division of Cardiology, Medical College of Wisconsin; Chief of Pediatric Cardiology, Medical Director of Pediatric Heart Transplant Program, Medical Director of The Heart Center, Children's Hospital of Wisconsin
Stuart Berger, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, American College of Chest Physicians, American Heart Association, and Society for Cardiac Angiography and Interventions
Disclosure: Nothing to disclose.

 
 
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