title: Thoracoscopic pericardiotomy for management of purulent pneumococcal pericarditis in a child.
abstract: Purulent pericarditis is an extremely rare complication of pneumococcal pneumonia in children that may result in to cardiac tamponade. While image-guided pericardiocentesis is the treatment of choice for such a condition, it may fail in the presence of thick pus; loculations and thoracoscopic pericardiotomy are useful procedures for such situations. Herein, we report such a case involving a 6-year-old boy who presented with purulent pneumococcal pericarditis that was managed with thoracoscopic pericardiotomy and who recovered well. Thoracoscopic pericardiotomy is a safe procedure that allows effective drainage under vision, pericardial biopsy for diagnosis, and a simultaneous opportunity to perform thoracoscopic pleural drainage.
authors: Department of Pediatric Surgery, NSCB Government Medical College, Jabalpur, India. drvikeshagrawal@gmail.com
authors: V
authors: V
authors: Agrawal
authors: A
authors: A
authors: Saxena
authors: A
authors: A
authors: Sethi
authors: H
authors: H
authors: Acharya
authors: D
authors: D
authors: Sharma
mesh_terms: D002648:Child; D004322:Drainage / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D020519:Pericardiocentesis / Q000379:methods*; D010493:Pericarditis / Q000382:microbiology / Q000601:surgery*; D011008:Pneumococcal Infections / Q000382:microbiology / Q000601:surgery*; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*; D013492:Suppuration / Q000382:microbiology / Q000601:surgery; D013906:Thoracoscopy / Q000379:methods*