Etiological and Evolutionary Profile of the Child’s Pericarditis in Tropical Environments

Abstract

Background: Liquid pericarditis is a frequent cause of hospitalization in developing countries. Objective: of this study was to describe the etiological and evolutionary aspects of fluid pericarditis in pediatric cardiology at ICA. Methods: This was a retrospective study of 42 cases of fluid pericarditis diagnosed among 202 children hospitalized over a five-year period (1 st January 2009 to 31 st December 2014). All patients with pericardial effusion were included in the study. Results: Prevalence was estimated at 20.8% of hospitalizations, sex ratio was 1.1 with a female predominance (52%) and the mean age at 9.2 years (11 days to 15 years). The etiologic varieties identified were: tuberculosis 22 cases, 52%, rheumatic pericarditis 6 cases or 14.3%, chronic parietal endocarditis 5 cases (11.9%), bacterial pericarditis with trivial germ 3 cases (7.1% 3 cases (7.1%), post-surgery syndrome 2 cases (4.8%), umbilical post-catheterization 1 case (2.4%). HIV serology was positive in 11.9% of cases. The progression was favorable in 55% of the cases with 10% of deaths. Conclusion: Fluid pericarditis in children is a severe condition that is clearly on the rise today, especially in immunocompromised patients. Optimal management of fluid pericarditis in children is the best guarantee to avoid short-term tamponade and in the medium term constriction.

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

“…6 El diagnóstico es clínico y eléctrico, basado en al menos dos de cuatro criterios: dolor torácico, frote pericárdico, anomalías electrocardiográfi cas com-patibles (elevación difusa del segmento ST con o sin onda T de corta duración, desnivel del segmento PR) o derrame pericárdico en ecocardiograma. 1,7,8 En países de bajos ingresos, donde entidades infecciosas como el virus de la inmunodefi ciencia humana o la tuberculosis son endémicas (por ejemplo, en poblaciones de la India y África), la principal causa de pericarditis es infecciosa. 8,9 En países de altos ingresos, la causa suele ser benigna y son más frecuentes las formas idiopáticas e infecciosas.…”

“…1,7,8 En países de bajos ingresos, donde entidades infecciosas como el virus de la inmunodefi ciencia humana o la tuberculosis son endémicas (por ejemplo, en poblaciones de la India y África), la principal causa de pericarditis es infecciosa. 8,9 En países de altos ingresos, la causa suele ser benigna y son más frecuentes las formas idiopáticas e infecciosas. 1 El tratamiento farmacológico de primera línea en la pericarditis aguda son los antiinfl amatorios no esteroideos (ácido acetilsalicílico, indometacina o ibuprofeno) durante dos o tres semanas.…”

Childhood Heart Disease in Côte d’Ivoire: Retrospective Multicentric Study about 228 Cases

“…Tougouma et al [3] in Burkina Faso and Ngouala et al [4] in Senegal reported hospital prevalence in children of 4.3‰ and 6‰, respectively, with predominantly congenital forms. In Côte d'Ivoire, heart disease has been the subject of very few studies in children [5] [6] [7]. All these studies were conducted in Abidjan so that the national prevalence of childhood heart disease is unknown.…”