2008, Number 84
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Rev Enfer Infec Pediatr 2008; 21.22 (84)
Primary meningococcal pericarditis by serogroup C
Cardoso HG, Zepeda OG, González SN
Language: Spanish
References: 24
Page: 118-123
PDF size: 246.03 Kb.
ABSTRACT
We report the case of 11-year-old female, with no previous medical history, who presented cardiac tamponade secondary to purulent pericarditis, caused by
Neisseria meningitidis serogroup C. This microorganism is the etiologic agent in 3 to 19% of the cases of purulent pericarditis, most in association with previous or concomitant central nervous system involvement (meningitis). Exceptionally, as in this case, the pericarditis is not accompanied by meningitis (primary meningococcal pericarditis). The patient was treated with antibiotics and pericardiocentesis with excellent response. In Mexico this illness is infrequent and the unusual forms may lead to diagnostic and therapeutics difficulties.
REFERENCES
Finkelstein Y, Adler Y, Nussinovitch M, Varsano I, Amir J. A new classification for pericarditis associated with meningococcal infection. Eur J Pediatr 1997;156:585-8.
Baevsky RH. Primary meningococcal pericarditis. Clin Infect Dis 1999;29:213-5.
Dupuis C, Gronnier P, Kachaner J, Farru O, Hernández I, Ducoulombier H, Vliers A. Bacterial pericarditis in infancy and childhood. Am J Cardiol 1994;74:807-9.
Vienne P, Ducos-Galand M, Guiyoule A, Pires R, Giorgini D, Taha MK, Alonso JM. The role of particular strains of Neisseria meningitidis in meningococcal arthritis, pericarditis, and pneumonia. Clin Infect Dis 2003;37:1639-42.
Feldman WE. Bacterial etiology and mortality of purulent pericarditis in pediatric patients. Am J Dis Child 1979;133:641-4.
Beggs S, Marks M. Meningococcal pericarditis in a 2-year-old child: reactive or infectious? J Paediatr Child Health 2000;36:606-8.
Morse JR, Oretsky MI, Hudson JA. Pericarditis as a complication of meningococcal meningitis. Ann Intern Med 1971;74:212-7.
Pierce HI, Cooper EB. Meningococcal pericarditis. Clinical features and therapy in five patients. Arch Intern Med 1972;129:918-22.
Gupta S, Rudolph G. Cardiac tamponade as a delayed presentation of Neisseria meningitidis infection in a 5-month-old infant. Pediatr Emerg Care 2007;23:163-5.
Moss W, Prince A. Pericarditis complicating meningococcal meningitis in a 7-month-old boy. Clin Pediatr 1994;33:169-71.
Manchanda V, Gupta S, Bhalla P. Meningococcal disease: history, epidemiology, pathogenesis, clinical manifestations, diagnosis, antimicrobial susceptibility and prevention. Indian J Med Microbiol 2006;24:7-19.
Almeida-González L, Franco-Paredes C, Pérez LF, Santos-Preciado JI. Meningococcal disease caused by Neisseria meningitidis: epidemiological, clinical, and preventive perspectives. Salud Pública Mex 2004;46:438-50.
Sistema Único de Información para la Vigilancia Epidemiológica. Anuarios de morbimortalidad de la Dirección General de Epidemiología, SSA.
1984-2006. Internet, disponible en: http://www.dgepi.salud.gob.mx. Consultado el: 14 de noviembre de 2007.
Milonovich LM. Meningococcemia: epidemiology, pathophysiology, and management. J Pediatr Health Care 2007;21:75-80.
Moumile K, Carbonnelle E, Dessemme P, Tamisier D, Iserin F, Houdouin V, Nassif X, Berche P. Culture-negative pericarditis caused by Neisseria meningitidis serogroup C. J Clin Microbiol 2004;42:923-4.
Morgan DR, Spence M, Crowe M, O’Keeffe DB. Primary (isolated) meningococcal pericarditis. Clin Cardiol 2002;25:305-7.
Rayo-Gutiérrez M, Lacalzada-Almeida J, Laynez-Cerdena I, Bosa-Ojeda F, Domínguez-Rodríguez A, de Armas-Trujillo D. Primary meningococcal pericarditis caused by meningococcus serogroup C. Rev Esp Cardiol 2000;53:1541-4.
Blaser MJ, Reingold AL, Alsever RN, Hightower A. Primary meningococcal pericarditis: a disease of adults associated with serogroup C Neisseria meningitidis. Rev Infect Dis 1984;6:625-32.
El Bashir H, Klaber R, El Baki A, Booy R.W135 meningococcal pericarditis: report of two cases and review of the literature. Pediatr Infect Dis J 2004;23:969-70.
Vienne P, Ducos-Galand M, Guiyoule A, Pires R, Giorgini D, Taha MK, Alonso JM. The role of particular strains of Neisseria meningitidis in meningococcal arthritis, pericarditis, and pneumonia. Clin Infect Dis 2003;37:1639-42.
Zepeda OG. Características clínicas y de laboratorio de la enfermedad por N. meningitidis en pacientes del INP. Tesis UNAM, México, 2005.
Nielsen HE, Koch C, Mansa B, Magnussen P, Bergmann OJ. Complement and immunoglobulin studies in 15 cases of chronic meningococcemia: properdin deficiency and hypoimmunoglobulinemia. Scand J Infect Dis 1990;22:31-6.
Kafetzis DA, Stamboulidis KN, Tzanakaki G, Kourea Kremastinou J, Skevaki CL, Konstantopoulos A, Tsolia M. Meningococcal group C disease in Greece during 1993-2006: the impact of an unofficial single-dose vaccination scheme adopted by most paediatricians. Clin Microbiol Infect 2007;13:550-2.