title: Acute-Onset Chest Pain in a 17-Year-Old Female Adolescent With Systemic Lupus Erythematosus.
abstract: We report the case of a 17-year-old adolescent girl with systemic lupus erythematosus with disseminated pneumococcal infection leading to purulent pericarditis with cardiac tamponade. Although pericarditis is not an uncommon entity in autoimmune diseases such as systemic lupus erythematosus, purulent pericarditis is a rare cause (<1%) of this presentation.
authors.affiliation: From the Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.
authors.forename: Courtney W
authors.initials: CW
authors.lastname: Mangus
authors.forename: Oluwatosin
authors.initials: O
authors.lastname: Fatusin
authors.forename: Thuy L
authors.initials: TL
authors.lastname: Ngo
mesh_terms: D059787:Acute Pain / Q000175:diagnosis* / Q000209:etiology; D061605:Administration, Intravenous; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002305:Cardiac Tamponade / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D002443:Ceftriaxone / Q000008:administration & dosage / Q000627:therapeutic use; D002637:Chest Pain / Q000175:diagnosis* / Q000209:etiology; D004452:Echocardiography / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D020519:Pericardiocentesis / Q000379:methods; D010493:Pericarditis / Q000150:complications / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D011008:Pneumococcal Infections / Q000150:complications / Q000188:drug therapy; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone