Open AccessPyopericardium with cardiac tamponade in a Nigerian child with acute osteomyelitis
Author(s) -
Igoche David Peter,
Abdullahi Shehu,
Umma A. Ibrahim,
Mustafa O Asani,
Ibrahim Aliyu,
Yunusa Sanusi,
Jameel Ahmad
Publication year - 2017
Publication title -
journal of cardiovascular echography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 8
eISSN - 2347-193X
pISSN - 2211-4122
DOI - 10.4103/jcecho.jcecho_45_16
Subject(s) - medicine , pericardiocentesis , cardiac tamponade , mycobacterium tuberculosis , coinfection , osteomyelitis , tuberculosis , pericardial fluid , intensive care medicine , tamponade , staphylococcus aureus , surgery , immunology , pathology , human immunodeficiency virus (hiv) , pericardial effusion , bacteria , biology , genetics
In pyopericardium, pus accumulates in the pericardial space as a result of infection by pyogenic organisms, most common of which are Staphylococcus aureus and Mycobacterium tuberculosis . These patients are at risk of cardiac tamponade. Apart from pericardiocentesis in the management of these patients, definitive drug treatment may pose a formidable challenge in a setting of coinfection as in patients with tuberculosis who are predisposed to secondary bacterial infections. This was the case of our patient. We here highlight the challenges faced with etiologic diagnosis in resource-limited settings.