title: Severe cardiovascular and thromboembolic consequences of pneumococcal infection in a child.
abstract: We present an unusually severe case of pneumococcal infection in an immunocompetent child who progressed from pneumonia to empyema, pericarditis with cardiac tamponade, and severe venous thromboembolism leading to life-threatening pulmonary embolus.
authors.affiliation: Paediatric Intensive Care Unit, Hill's Road, Addenbrooke's Hospital, Cambridge, United Kingdom. afraata@yahoo.co.uk
authors.forename: Afraa
authors.initials: A
authors.lastname: Al-Sabbagh
authors.forename: Katherine
authors.initials: K
authors.lastname: Catford
authors.forename: Ian
authors.initials: I
authors.lastname: Evans
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Morley
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000032:analysis; D000925:Anticoagulants / Q000627:therapeutic use; D016121:Brachiocephalic Veins; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002648:Child; D018450:Disease Progression; D004322:Drainage; D004452:Echocardiography; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods; D005260:Female; D006801:Humans; D015278:Intensive Care Units, Pediatric; D007601:Jugular Veins; D010490:Pericardial Effusion / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D011008:Pneumococcal Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D013296:Streptococcus pneumoniae / Q000276:immunology / Q000302:isolation & purification; D013350:Subclavian Vein; D014057:Tomography, X-Ray Computed; D054556:Venous Thromboembolism / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D000925:Anticoagulants