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  • Title: Acute pericarditis caused by Streptococcus pneumoniae in young infants and children: three case reports and a literature review.
    Author: Feinstein Y, Falup-Pecurariu O, Mitrică M, Berezin EN, Sini R, Krimko H, Greenberg D.
    Journal: Int J Infect Dis; 2010 Feb; 14(2):e175-8. PubMed ID: 19570702.
    Abstract:
    We present three cases of pericarditis caused by Streptococcus pneumoniae diagnosed in children. The presenting symptoms were fever, dyspnea, tachycardia, and hepatomegaly. Chest X-rays showed an enlarged heart silhouette and echocardiographic examination revealed a pericardial effusion in all cases. S. pneumoniae was recovered from the pericardial fluid and/or blood in all cases. Systemic antibiotic treatment and dopaminergic agents were used; all patients recovered completely. Another 10 cases of S. pneumoniae pericarditis in children reported since 1980 are presented. Most cases had preceding respiratory symptoms and had a good outcome. While rare and life-threatening, pericarditis caused by S. pneumoniae has a good outcome if diagnosed early and treated adequately.
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