title: Cardiac tamponade as a delayed presentation of Neisseria meningitidis infection in a 5-month-old infant.
abstract: This is a case of a 5-month-old female infant diagnosed with primary meningococcal pericarditis. Pericarditis is a well-recognized but uncommon complication of meningococcal infection. Primary meningococcal pericarditis, defined as purulent pericarditis without any clinical evidence of disseminated meningococcemia, meningitis, or other foci of meningococcal infection, is exceedingly rare, with only 21 reported cases since the first case was reported in 1939. This case report of primary meningococcal pericarditis is the youngest case and only the second case reported in an infant in the English literature to date.
authors.affiliation: Department of Emergency Medicine, New York Hospital Queens, Flushing, NY 11570, USA.
authors.forename: Sanjey
authors.initials: S
authors.lastname: Gupta
authors.forename: Gary
authors.initials: G
authors.lastname: Rudolph
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D002305:Cardiac Tamponade / Q000209:etiology*; D002443:Ceftriaxone / Q000627:therapeutic use; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology; D006801:Humans; D007223:Infant; D007958:Leukocyte Count; D008589:Meningococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010490:Pericardial Effusion / Q000209:etiology*; D010493:Pericarditis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D013616:Tachycardia, Sinus / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone