title: [Intrapericardial hemorrhage as a manifestation of mycoplasma pneumoniae infection].
abstract: Although carditis associated with Mycoplasma pneumoniae is infrequent it is an important cause of death in M. pneumoniae infections. We report on a 4-year-old boy with a M. pneumoniae infection, who developed a large hemorrhagic pericardial effusion and was successfully treated by percutaneous catheter drainage. Except in cancer patients, nontraumatic hemorrhagic pericardial effusions are rare. Our case strongly supports direct bacterial invasion into pericardial tissue as a cause of M. pneumoniae pericarditis rather than autoimmune phenomenon.
authors.affiliation: Klinik mit Poliklinik für Kinder und Jugendliche Universität Erlangen-Nürnberg.
authors.forename: G
authors.initials: G
authors.lastname: Hofner
authors.forename: M
authors.initials: M
authors.lastname: Hofbeck
authors.forename: A
authors.initials: A
authors.lastname: Koch
authors.forename: N
authors.initials: N
authors.lastname: Schmiedl
authors.forename: H
authors.initials: H
authors.lastname: Singer
mesh_terms: D002675:Child, Preschool; D004452:Echocardiography; D006801:Humans; D008297:Male; D009177:Mycoplasma pneumoniae / Q000472:pathogenicity; D009205:Myocarditis / Q000175:diagnosis*; D010490:Pericardial Effusion / Q000175:diagnosis*; D010496:Pericardium / Q000382:microbiology; D011019:Pneumonia, Mycoplasma / Q000175:diagnosis*; D014774:Virulence