Group A Streptococcal Pericarditis in a Four-Month-Old Infant Case report
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 2
Abstract
Purulent pericarditis is uncommon among paediatric patients and cases caused by group A Streptococcus (GAS) are even rarer. We report a four-month-old female infant who was referred to the Royal Hospital, Muscat, Oman, in 2015 with pericardial effusion and cardiac tamponade. She had initially presented to a secondary hospital with a two-week history of fever, a runny nose and shortness of breath. Blood and pericardial fluid cultures confrmed GAS isolates. Te infant was treated with a two-week course of antibiotics and made a complete recovery with no echocardiographical evidence of pericardial effusion at a two-month follow-up. To the best of the authors’ knowledge, this case constitutes the youngest infant to present with GAS pericarditis. As invasive GAS infections can present in infancy, early recognition and treatment is required.
Authors and Affiliations
Badria R. Al-Waili| Departments of Pediatric Infectious Diseases, Royal Hospital, Muscat, Oman, Sunny K. Zacharias| Departments of Cardiothoracic Surgery, Royal Hospital, Muscat, Oman, Emad Aslem| Departments of Pediatric Cardiology, Royal Hospital, Muscat, Oman
Keywords
Related Articles
- EP ID EP14782
- DOI 10.18295/squmj.2016.17.02.020
- Views 383
- Downloads 24
Sodium Valproate-Induced Myopathy in a Child
Immunotherapy for B-Cell Neoplasms using T Cells expressing Chimeric Antigen Receptors From antigen choice to clinical implementation
Immunotherapy with T cells expressing chimeric antigen receptors (CAR) is being evaluated as a potential treatment for B-cell neoplasms. In recent clinical trials it has shown promising results. As the number of potent...
A Rare Presentation of Attention Defcit/Hyperactivity Disorder A recommendation to be more alert!
We report the case of a 7 year-old Omani girl with tuberous sclerosis (TS), attention defcit hyperactivity disorder (ADHD) and bipolar disorder (BD), at Sultan Qaboos University Hospital (SQUH), Oman. For a year she ha...
Mycoplasma pneumoniae Pneumonia with Worsening Pleural Effusion Despite Treatment with Appropriate Antimicrobials Case report
Mycoplasma pneumoniae is a common cause of community-acquired pneumonia. As M. pneumoniae pneumonia is usually a mild and self-limiting disease, complications such as pleural effusion occur only rarely. We report a 22-y...
Measuring Empathy Levels among Kurdish Medical Students in Erbil City, Iraq Cross-sectional study
Objectives: Empathy is a crucial attribute within the physician-patient relationship. Tis study aimed to evaluate the empathy levels of students in the College of Medicine at Hawler Medical University (HMU) in Erbil ci...