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  • Title: Purulent pericarditis in children: is pericardiotomy needed?
    Author: Megged O, Argaman Z, Kleid D.
    Journal: Pediatr Emerg Care; 2011 Dec; 27(12):1185-7. PubMed ID: 22158282.
    Abstract:
    OBJECTIVES: This study aimed to describe our experience with pediatric bacterial pericarditis and review the optimal therapy for this entity. METHODS: This is a retrospective study in a pediatric intensive care unit in a university hospital. Three children were diagnosed with purulent pericarditis. They were all treated with antibiotics, echocardiography-guided pericardial fluid drainage, and placement of a pericardial catheter, with no need for thoracotomy or pericardial window. RESULTS: All 3 children fully recovered, and none developed constrictive pericarditis. CONCLUSIONS: Children with purulent pericarditis usually can be treated with antibiotics and drainage of pericardial effusion, with no need for thoracotomy or pericardial window.
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