Purulent pericarditis in children: is pericardiotomy needed?

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.