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 332
- Downloads 24
Cardiovascular Responses to Tonic Pain in REM Sleep-Deprived Rats Role of Melatonin and Beta Endorphin
Objective: Chronic pain is associated with increased incidence of hypertension. Sleep deprivation, common in patients with chronic pain, is associated with increased blood pressure and heart rate. Tis study was designed...
Congenital Lingual Melanotic Macule Rare entity in infants
Knowledge of Coronary Heart Disease Risk Factors among a Community Sample in Oman Pilot study
Objectives: Te aim of this study was to assess the knowledge of Omani adults regarding conventional coronary heart disease (CHD) risk factors and to identify demographic variables associated with these knowledge level...
A strange type of Pica
Pica, where the patient eats non-food items such as mud, clay, varnish etc., is a common behavioural problem seen in children, pregnant women and the mentally retarded. However sponge pica is a very rare variation. We r...
Lifestyle Habits Diet, physical activity and sleep duration among Omani adolescents
Objectives: Tis study aimed to investigate the lifestyle habits—physical activity (PA), eating habits (EH), and sleep duration (SD)—of Omani adolescents, and to examine gender differences in such variables. Methods...