Surgical and Medical Management of Purulent Bacterial Pericarditis With Pericardial Mass in a Young Child

Samiksha Tarun; Luv Makadia; Salih Demirhan; Shivang S Shah; Marc D Foca; Emile A Bacha; Lauren Thai; Neha Bansal; Carlos A Pagan; Oliver M Barry

doi:10.1016/j.jaccas.2023.101834

Surgical and Medical Management of Purulent Bacterial Pericarditis With Pericardial Mass in a Young Child

JACC Case Rep. 2023 May 5:15:101834. doi: 10.1016/j.jaccas.2023.101834. eCollection 2023 Jun 7.

Authors

Affiliations

¹ Department of Pediatrics, Division of Infectious Diseases, Columbia University Medical Center, New York, New York, USA.
² Department of Pediatrics, Division of Cardiology, Columbia University Medical Center, New York, New York, USA.
³ Department of Pediatrics, Division of Infectious Diseases, The Children's Hospital at Montefiore, New York, New York, USA.
⁴ Department of Surgery, Division of Pediatric Cardiothoracic Surgery, Columbia University Medical Center, New York, New York, USA.
⁵ Department of Pediatrics, Division of Cardiology, The Children's Hospital at Montefiore, New York, New York, USA.
⁶ Department of Pathology, Columbia University Medical Center, New York, New York, USA.

Abstract

Purulent bacterial pericarditis is rare and associated with significant short- and long-term morbidity. We report a case of purulent bacterial pericarditis caused by Group A Streptococcus in an immunocompetent young child presenting with a pericardial mass. She was successfully treated with a combined medical and early surgical approach. (Level of Difficulty: Intermediate.).

Keywords: pediatric surgery; pericardial effusion; treatment.

Publication types

Case Reports