SciELO - Scientific Electronic Library Online

vol.86 issue4Systemic lupus erythematosus in children and adolescentsHaemophilus parainfluenzae infectious endocarditis author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links


Archivos de Pediatría del Uruguay

Print version ISSN 0004-0584On-line version ISSN 1688-1249


CABO, Estefanía et al. Acute pericarditis in Pediatrics: Incidence and characteristics. Pereira Rossell Pediatric Hospital; 2001-2011. Arch. Pediatr. Urug. [online]. 2015, vol.86, n.4, pp.284-293. ISSN 0004-0584.

Introduction: pericarditis is the inflammation of the pericardium triggered by the action of various agents; it is a rare pediatric disease whose real incidence is unknown. Objective: to determine the incidence and characteristics of acute pericarditis in patients assisted at the Pereira Rossell Hospital Center. Methods: a retrospective study of cases between 2001 and 2011. Results: the incidence was 1.7 of 10,000 discharges. 80% of them occurred during a respiratory infection, being pneumonia the most frequent disease. 90% presented fever, tachycardia and tachypnea. Etiology: 9/19 purulent pericarditis; 3/19 idiopathic; immune mediated 3/19; 2/19 physical agent (postpericardiotomy) and 2/19 due to autoimmune disease. The causative agent of purulent pericarditis was identified in 5 of the 9 cases, being Streptococcus pneumoniae found in 3 patients. The echocardiogram confirmed the diagnosis in all cases. The cardio-thoracic index was increased in 17 of the 19 patients. Cardiac tamponade was the most frequent complication (7/19), five of which presented purulent pericarditis. There were no deaths. Discussion: purulent pericarditis was the most frequent etiology, being pneumococcal the main agent. Cardiac tamponade was a frequent complication, associated with the purulent etiology. Conclusion: acute pericarditis is a rare disease in children, which has nonspecific clinical symptoms and high risk of complications; therefore it requires a high level of clinical suspicion. Purulent pericarditis was the most frequent etiology below the age of 8 years, being Streptococcus pneumoniae the main isolated causative pathogen.


        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License