Pneumococcal pneumonia complicating purulent pericarditis in a previously healthy girl

A rare yet possible fatal complication in the antibiotic era

Fong Fong Lim, Hung Ming Chang, Ko Huang Lue, Ji Nan Sheu

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purulent pericarditis is an extremely rare complication of invasive Streptococcus pneumoniae infection among children in the antibiotic era, and its mortality remains high if left untreated. This report involves a 41/2-year-old girl who presented to our emergency department with productive cough, shortness of breath, and left-sided chest pain with a diagnosis of pneumococcal pneumonia. She subsequently developed life-threatening conditions including bilateral empyema withrespiratory failure, purulent pericarditis, and multiple organ failure leading to death. The case highlights that purulent pericarditis is a rare yet possible disorder complicating pneumococcal disease in the antibiotic era. The increase in strains resistant to penicillin should alert emergency physicians to the potential for reemergence of pneumococcal pericarditis in children.

Original languageEnglish
Pages (from-to)751-753
Number of pages3
JournalPediatric Emergency Care
Volume27
Issue number8
DOIs
Publication statusPublished - Aug 2011
Externally publishedYes

Fingerprint

Pneumococcal Pneumonia
Pericarditis
Anti-Bacterial Agents
Pneumococcal Infections
Empyema
Multiple Organ Failure
Chest Pain
Cough
Penicillins
Dyspnea
Hospital Emergency Service
Emergencies
Physicians
Mortality

Keywords

  • Empyema
  • pneumonia
  • purulent pericarditis
  • Streptococcus pneumoniae

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Pneumococcal pneumonia complicating purulent pericarditis in a previously healthy girl : A rare yet possible fatal complication in the antibiotic era. / Lim, Fong Fong; Chang, Hung Ming; Lue, Ko Huang; Sheu, Ji Nan.

In: Pediatric Emergency Care, Vol. 27, No. 8, 08.2011, p. 751-753.

Research output: Contribution to journalArticle

@article{35e42acda6b04a70a27f9e32d4b9f903,
title = "Pneumococcal pneumonia complicating purulent pericarditis in a previously healthy girl: A rare yet possible fatal complication in the antibiotic era",
abstract = "Purulent pericarditis is an extremely rare complication of invasive Streptococcus pneumoniae infection among children in the antibiotic era, and its mortality remains high if left untreated. This report involves a 41/2-year-old girl who presented to our emergency department with productive cough, shortness of breath, and left-sided chest pain with a diagnosis of pneumococcal pneumonia. She subsequently developed life-threatening conditions including bilateral empyema withrespiratory failure, purulent pericarditis, and multiple organ failure leading to death. The case highlights that purulent pericarditis is a rare yet possible disorder complicating pneumococcal disease in the antibiotic era. The increase in strains resistant to penicillin should alert emergency physicians to the potential for reemergence of pneumococcal pericarditis in children.",
keywords = "Empyema, pneumonia, purulent pericarditis, Streptococcus pneumoniae",
author = "Lim, {Fong Fong} and Chang, {Hung Ming} and Lue, {Ko Huang} and Sheu, {Ji Nan}",
year = "2011",
month = "8",
doi = "10.1097/PEC.0b013e318226e07b",
language = "English",
volume = "27",
pages = "751--753",
journal = "Pediatric Emergency Care",
issn = "0749-5161",
publisher = "Lippincott Williams and Wilkins",
number = "8",

}

TY - JOUR

T1 - Pneumococcal pneumonia complicating purulent pericarditis in a previously healthy girl

T2 - A rare yet possible fatal complication in the antibiotic era

AU - Lim, Fong Fong

AU - Chang, Hung Ming

AU - Lue, Ko Huang

AU - Sheu, Ji Nan

PY - 2011/8

Y1 - 2011/8

N2 - Purulent pericarditis is an extremely rare complication of invasive Streptococcus pneumoniae infection among children in the antibiotic era, and its mortality remains high if left untreated. This report involves a 41/2-year-old girl who presented to our emergency department with productive cough, shortness of breath, and left-sided chest pain with a diagnosis of pneumococcal pneumonia. She subsequently developed life-threatening conditions including bilateral empyema withrespiratory failure, purulent pericarditis, and multiple organ failure leading to death. The case highlights that purulent pericarditis is a rare yet possible disorder complicating pneumococcal disease in the antibiotic era. The increase in strains resistant to penicillin should alert emergency physicians to the potential for reemergence of pneumococcal pericarditis in children.

AB - Purulent pericarditis is an extremely rare complication of invasive Streptococcus pneumoniae infection among children in the antibiotic era, and its mortality remains high if left untreated. This report involves a 41/2-year-old girl who presented to our emergency department with productive cough, shortness of breath, and left-sided chest pain with a diagnosis of pneumococcal pneumonia. She subsequently developed life-threatening conditions including bilateral empyema withrespiratory failure, purulent pericarditis, and multiple organ failure leading to death. The case highlights that purulent pericarditis is a rare yet possible disorder complicating pneumococcal disease in the antibiotic era. The increase in strains resistant to penicillin should alert emergency physicians to the potential for reemergence of pneumococcal pericarditis in children.

KW - Empyema

KW - pneumonia

KW - purulent pericarditis

KW - Streptococcus pneumoniae

UR - http://www.scopus.com/inward/record.url?scp=80051745454&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80051745454&partnerID=8YFLogxK

U2 - 10.1097/PEC.0b013e318226e07b

DO - 10.1097/PEC.0b013e318226e07b

M3 - Article

VL - 27

SP - 751

EP - 753

JO - Pediatric Emergency Care

JF - Pediatric Emergency Care

SN - 0749-5161

IS - 8

ER -