False Aneurysm of Left Ventricle Complicating Staphylococcal Pericarditis

Sadan, Naum; Horowitz, Israel; Segni, Elio Di; Levy, Morris J.

doi:10.1001/archpedi.1981.02130310067022

Cited by 4 publications

(6 citation statements)

References 12 publications

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“…Although staphylococcal pericarditis secondary to acute haematogenous osteomyelitis is uncommon, three cases as well as our own have been reported [1], together with another case [10] where earlier treatment might have been effective since this complication occurred 10 days after the onset. In a series of 14 children with infected pericarditis, 2 were associated with osteomyelitis and septic arthritis due to staphylococcus aureus [13].…”

Section: Discussionmentioning

confidence: 90%

“…The commonest systemic complications are bronchopneumonia, pericarditis and meningitis [1,3,8,10]. These were all common before antibiotics were introduced, but with this treatment the mortality fell from 23% to 3.5% [5].…”

Section: Discussionmentioning

confidence: 99%

“…C a r d i o p u l m o n a r y failure m a y develop f r o m infection of the heart and lungs. There are very few reports in English of p r i m a r y muscoloskeletal infections causing pericarditis and p n e u m o n i a [1,10,13].…”

Section: Introductionmentioning

confidence: 99%

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Complications of suppurative arthritis and osteomyelitis in children

Porat

Goitien

Saperia

et al. 1991

International Orthopaedics

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Three children with suppurative arthritis and osteomyelitis are described to emphasise that delayed or incorrect diagnosis may lead to serious cardiopulmonary complications. In two patients, bilateral bronchopneumonia developed with pneumatocoeles, pneumothorax and empyema. The other had cardiac failure from septic pericarditis. In one case, disarticulation of the knee was needed as a life-saving measure, and the other leg developed an infected pseudarthrosis of the tibia. The causative organism in each case was staphylococcus aureus and no evidence of immunodeficiency was demonstrated.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Complications of suppurative arthritis and osteomyelitis in children

Porat

Goitien

Saperia

et al. 1991

International Orthopaedics

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“…Our literature search revealed a total of 23 cases, including 12 children, with outcome reported in 21 cases (see Table 1). In 1981 Sadan et al first reported a left ventricle pseudoaneurysm as a complication of a purulent pericarditis in a 6-year-old girl [1]. Staphylococcus aureus was the most common causative microorganism occurring in 52% of cases, excluding MRSA.…”

Section: Discussionmentioning

confidence: 99%

Infectious pseudo-aneurysm of the left ventricle: a case report and a review of the literature

Juliana

Kruys

Voigt

et al. 2020

BMC Cardiovasc Disord

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Background: In the workup of a pediatric patient with pericarditis we found evidence of a pseudo-aneurysm of the left ventricle, which is a rare complication of purulent pericarditis. Case presentation: We present a case of a six-year-old girl who was diagnosed with pericarditis and a fistula between the pericardial and the intra-luminal space of the left ventricle of the heart. She was successfully treated with antibiotics and cardio-thoracic surgery. We found 23 published cases (21 with follow-up) of infectious pseudoaneurysm of the heart, of which 19 underwent surgery, 5 had fatal outcome, and 2 who refused surgery survived. The majority of cases were associated with Staphylococcus aureus. The exact mechanisms of this rare complication remain unknown. Conclusions: A pseudo-aneurysm of the left ventricle is a rare and not well understood complication of a purulent pericarditis most commonly caused by Staphylococcus aureus infection. Because of risk of rupture, surgical intervention is advised.

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“…Es necesario llamar nuevamente la atencion sobre el hallazgo de abscesos miocardicos asociados a pericarditis purulenta, pues al margen del irnpacto inmediato que produzcan sobre la contractilidad del musculo, recientemente se ha senalado su relacion con complicaciones severas, como el falso aneurisma ventricular izquierdo, secuela de pericarditis estafilococicas 15 .…”

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