Constrictive Pericarditis: A Challenging Diagnosis in Paediatrics

Faustino, Mariana; Mendes, Inês; Anjos, Rui

doi:10.1155/2015/402740

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…Furthermore, a backward citation search contributed to the identification of three additional relevant studies. Ultimately, this systematic review comprises a total of 45 studies [ 11 , 18 , 19 , 20 , 21 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 ].…”

Section: Resultsmentioning

confidence: 99%

Tuberculous Pericarditis in Childhood: A Case Report and a Systematic Literature Review

Venuti,

Condemi,

Albano

et al. 2024

Pathogens

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Tuberculous pericarditis (TBP) is an important cause of pericarditis worldwide while being infrequent in childhood, especially in low-TB-incidence countries. We report a case of TBP and provide a systematic review of the literature, conducted by searching PubMed, Scopus, and Cochrane to find cases of TBP in pediatric age published in the English language between the year 1990 and the time of the search. Of the 587 search results obtained, after screening and a backward citation search, 45 studies were selected to be included in this review, accounting for a total of 125 patients. The main signs and symptoms were fever, cough, weight loss, hepatomegaly, dyspnea, and increased jugular venous pressure or jugular vein turgor. A definitive diagnosis of TBP was made in 36 patients, either thanks to microbiological investigations, histological analysis, or both. First-line antitubercular treatment (ATT) was administered in nearly all cases, and 69 children underwent surgical procedures. Only six patients died, and only two died of TBP. TBP in childhood is relatively uncommon, even in high-TB-prevalence countries. Clinical manifestations, often suggestive of right-sided cardiac failure, are subtle, and diagnosis is challenging. TBP has an excellent prognosis in childhood; however, in a significant proportion of cases, invasive surgical procedures are necessary.

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Section: Resultsmentioning

confidence: 99%

Tuberculous Pericarditis in Childhood: A Case Report and a Systematic Literature Review

Venuti,

Condemi,

Albano

et al. 2024

Pathogens

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“…The ratio of right ventricular to left ventricular systolic area during inspiration and expiration is known as the "systolic area index," which has a 97% sensitivity prediction rate and a 100% positive predictive power when higher than 1.1. 8 Tubercle bacilli in the pericardial fluid or a histopathological section of the pericardium are required for a confirmed diagnosis of tuberculous pericarditis. 9 Accurately diagnosing and treating conditions like pericardial effusion or constriction is made simpler by integrating new imaging tools.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Unexplained ascites can be constrictive pericarditis

Lohakare,

Hampe,

Hinge

et al. 2023

F1000Res

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Here we present a patient who had unexplained ascites despite a lengthy series of investigations. Extrathoracic manifestations of constrictive pericarditis such as re- solving ascites often cover the true situation and lead to a delayed diagnosis. A six-year-old boy was referred to our hospital due to a three-year history of abdominal distention, and difficulty in breathing. A chest x-ray revealed heart enlargement. The diameter of the induration of the tuberculin skin test was 14 mm. Echocardiography and cardiac magnetic resonance imaging showed constrictive pericarditis. The patient was diagnosed with a tuberculosis origin of pericarditis. Cardiac catheterization was performed, and pericardiectomy. The patient was started on an anti-tuberculosis drug leading to a complete cure of ascites.

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“…1 Las causas idiopáticas, infecciosas y musculoesqueléticas suelen ser las más frecuentes y generalmente son de carácter benigno y autolimitado cuando se comparan con las secundarias a radioterapia, pericardiotomía quirúrgica y neoplásica. 2 Los principales agentes infecciosos son los virus (Echovirus, Coxsackie, virus de Epstein-Barr, citomegalovirus, virus de la inmunodefi ciencia humana, adenovirus, parvovirus B19) y bacterias (Mycobacterium tuberculosis, Staphyloccus aureus, Haemophilus infl uenzae). 3,4 La serositis por pericarditis con derrame pericárdico suele ser infrecuente en las enfermedades autoinmunes.…”

Section: Antecedentesunclassified

Pericarditis y derrame pericárdico como presentación inicial de lupus eritematoso sistémico. Reporte de caso

Gerardo-Morales

Llausás-Magaña

Leon-Ramirez

et al. 2019

RAM

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Antecedentes: La pericarditis aguda es poco frecuente en los niños; puede evolucionar a derrame o taponamiento cardiaco. Los principales agentes infecciosos son virus y bacterias. El tratamiento farmacológico es con antiinflamatorios no esteroideos; pocos pacientes requieren pericardiocentesis.Caso clínico: Paciente escolar hospitalizada por dolor torácico en zona precordial, quien fue diagnosticada con pericarditis aguda y derrame pericárdico, sin otra sintomatologia clínica. El cuadro progresó a tos seca, dolor abdominal epigástrico opresivo, vómitos gastroalimentarios y fiebre. Por mala respuesta al tratamiento inicial se solicitaron estudios inmunológicos. Se encontró positividad a los autoanticuerpos antinucleares, anti-ADN de doble cadena, Coombs directo y anticardiolipinas; también se encontró hipocomplementemia con linfopenia, indicativos de lupus eritematoso sistémico.Conclusiones: La evolución tórpida o recurrencia de la pericarditis debe orientar a descartar entidades neoplásicas o autoinmunes. Las manifestaciones cardiovasculares se presentan de forma inicial en pocos pacientes con lupus eritematoso sistémico.

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Constrictive Pericarditis: A Challenging Diagnosis in Paediatrics

Cited by 4 publications

References 9 publications

Tuberculous Pericarditis in Childhood: A Case Report and a Systematic Literature Review

Tuberculous Pericarditis in Childhood: A Case Report and a Systematic Literature Review

Case Report: Unexplained ascites can be constrictive pericarditis

Pericarditis y derrame pericárdico como presentación inicial de lupus eritematoso sistémico. Reporte de caso

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