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Purulent pericarditis secondary to influenza and community-acquired methicillin-resistant Staphylococcus aureus co-infection

Part of: Infectious

Published online by Cambridge University Press:  17 September 2018

Kavita Morparia*
Affiliation:
Department of Pediatric Critical Care Medicine, Children’s Hospital of New Jersey, Newark Beth Israel Medical Center, Newark, NJ, USA
Courtney Peshkovsky
Affiliation:
Department of Pediatric Cardiology, Children’s Hospital of New Jersey, Newark Beth Israel Medical Center, Newark, NJ, USA
Meena Kalyanaraman
Affiliation:
Department of Pediatric Critical Care Medicine, Children’s Hospital of New Jersey, Newark Beth Israel Medical Center, Newark, NJ, USA
*
Author for correspondence: K. Morparia, Department of Pediatric Critical Care, Children’s Hospital of New Jersey, C-5, 201 Lyons Ave, Newark, NJ 07112, USA. Tel: 973-926-8081; E-mail: [email protected]

Abstract

Purulent pericarditis occurs rarely in the current antibiotic era. We describe clinical and echocardiographic features of purulent pericarditis in a previously healthy child with influenza and community-acquired methicillin-resistant Staphylococcus aureus co-infection. The child was already on appropriate antibiotics and had a very subtle clinical presentation, with prominent abdominal symptoms. Timely surgical drainage led to complete recovery.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

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References

1. Centers for Disease Control and Prevention 2018, Influenza associated pediatric mortality. Retrieved from https://gis.cdc.gov/GRASP/Fluview/PedFluDeath.html.Google Scholar
2. Donnelly, LF, Kimball, TR, Barr, LL. Purulent pericarditis presenting as acute abdomen in children: abdominal imaging findings. Clin Radiol 1999; 54: 691693.Google Scholar
3. Walker, CM, Chung, JH, Reddy, GP. Septal bounce. J Thorac Imaging 2012; 27: W1.Google Scholar
4. Robinson, KM, Kolls, JK, Alcorn, JF. The immunology of influenza virus-associated bacterial pneumonia. Curr Opin Immunol 2015; 34: 5967.Google Scholar
5. Sun, K, Metzger, DW. Influenza infections suppresses NADPH oxidase-dependent phagocytic bacterial clearance and enhances susceptibility to secondary methicillin-resistant Staphylococcus aureus infection. J Immunol 2014; 192: 33013307.Google Scholar
6. Niemann, S, Ehrhardt, C, Medina, E, et al. Combined action of influenza virus and Staphylococcus aureus panton-valentine leukocidin provokes severe lung epithelium damage. J Infect Dis 2012; 206: 11381148.Google Scholar
7. Finelli, L, Fiore, A, Dhara, R, et al. Influenza-associated pediatric mortality in the United States: increase of Staphylococcus aureus coinfection. Pediatrics 2008; 122: 805811.Google Scholar
8. Randolph, AG, Vaughn, F, Sullivan, R, et al. Critically ill children during the 2009–2010 influenza pandemic in the United States. Pediatrics 2011; 128: e14508.Google Scholar
9. Carrillo-Marquez, MA, Hulten, KG, Hammerman, W, et al. Staphylococcus aureus pneumonia in children in the era of community-acquired methicillin-resistance at Texas Children’s Hospital. Pediatr Infect Dis J 2011; 30: 545550.Google Scholar