Abstract
Pnömoniye eşlik eden bir miyoperikardit olgusu sunulmaktadır. On yedi yaşındaki erkek hasta göğüs ağrısı yakınması ile başvurduğu acil servisten akut miyokart enfarktüsü ön tanısı ile hastanemize yönlendirilmişti. Hastanın başvurusunda EKG’de ST elevasyonu (DII, DIII, aVF, V3-V6), yüksek kardiyak troponin I (15.4 ng/ml, normal değer <0.06) ve akciğer grafisinde infiltrasyon mevcuttu. Pnömoni ve miyoperikardit tanısıyla yatırılarak antibiyotik ve anti-inflamatuvar tedavi uygulandı. Tedavisinin 10. gününde taburcu edildi. Miyoperikardit’in en sık nedeni viral enfeksiyonlardır; ancak nadir de olsa bakteriyel enfeksiyonlar sırasında da miyoperikardit görülebilir. Sıklıkla subkliniktir ve kardiyak belirti ve bulgular altta yatan sistemik enfeksiyon ve inflamasyon tarafından gölgelenebilir. Tedavide istirahat, fiziksel aktiviteden uzak durma, anti-inflamatuvar tedavi ve mümkünse altta yatan hastalığın tedavisi uygulanır.
Keywords
References
- Akalın F. Çocuk ve ergenlerde göğüs ağrısı. Türk Ped Arş 2010; 45:2-5
- Barlett JG, Mundy LM. Community-acquired pneumonia. N Eng J Med 1995; 1618-24.
- Koster N, Narmi A, Anand K. Bacterial pericarditis. Am J Med 2009;122:e1–e2.
- Imazio M, Trinchero R. Myopericarditis: Etiology, management, and prognosis. Int J Cardiol 2008;127:17-26.
- Imazio M, Cecchi E, Demichelis B, Chinaglia A, Ierna S, Demarie D, et al. Myopericarditis versus viral or idiopathic acute pericarditis. Heart 2008;94:498-501.
- Imazio M, Cecchi E, Demichelis B, Ierna S, Demarie D, Ghisio A, Pomari F, Coda L, Belli R, Trinchero R. Indicators of poor prognosis of acute pericarditis. Circulation 2007;115: 2739-44.
- American Academy of Pediatrics. Pneumococcal infections. In: Pickering LK, Baker CJ, Kimberlin DW, Long SS (eds). Red Book: 2012 Report of the Committee on Infectious Diseases. 29th ed. Elk Grove Village, IL: American Academy of Pediatrics, 2012:571
- Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis 2011;53:e25-76.
- Wubbel L, Muniz L, Ahmed A, Trujillo M, Carubelli C, McCoig C, et al. Etiology and treatment of community-acquired pneumonia in ambulatory children. Pediatr Infect Dis J 1999;18:98.
- Johnson JN, Cetta F. Pericardial Disease. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (eds). Moss and Adams Heart Disease in Infants, Children, and Adolescents. 8th ed. Philadelphia, Pa: Lippincott Williams & Wilkins, 2013:1350–62.
Abstract
We report a case of myopericarditis concomitant with pneumonia. The patient presented at the emergency service with chest pain and had been referred to our hospital with a diagnosis of myocardial infarction. At the time of admission he had ST elevation (DII, DIII, aVF, V3-V6) on ECG, cardiac troponin I elevation (15.4 ng/ml, N:<0.06) and pneumonic infiltration on chest radiography. He was hospitalized, and antibiotic and anti-inflammatory treatment was administered. He was discharged after 10 days of treatment. Although the most common causative agent of myopericarditis is viruses, bacterial infections can also rarely lead to myocarditis. Most cases of myopericarditis are subclinical and the cardiac symptoms and signs can be masked by systemic manifestations of infection and inflammation. Management of myopericarditis includes avoidance of physical activity, administering anti-inflammatory treatment and possibly treatment of the underlying disease
Keywords
References
- Akalın F. Çocuk ve ergenlerde göğüs ağrısı. Türk Ped Arş 2010; 45:2-5
- Barlett JG, Mundy LM. Community-acquired pneumonia. N Eng J Med 1995; 1618-24.
- Koster N, Narmi A, Anand K. Bacterial pericarditis. Am J Med 2009;122:e1–e2.
- Imazio M, Trinchero R. Myopericarditis: Etiology, management, and prognosis. Int J Cardiol 2008;127:17-26.
- Imazio M, Cecchi E, Demichelis B, Chinaglia A, Ierna S, Demarie D, et al. Myopericarditis versus viral or idiopathic acute pericarditis. Heart 2008;94:498-501.
- Imazio M, Cecchi E, Demichelis B, Ierna S, Demarie D, Ghisio A, Pomari F, Coda L, Belli R, Trinchero R. Indicators of poor prognosis of acute pericarditis. Circulation 2007;115: 2739-44.
- American Academy of Pediatrics. Pneumococcal infections. In: Pickering LK, Baker CJ, Kimberlin DW, Long SS (eds). Red Book: 2012 Report of the Committee on Infectious Diseases. 29th ed. Elk Grove Village, IL: American Academy of Pediatrics, 2012:571
- Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis 2011;53:e25-76.
- Wubbel L, Muniz L, Ahmed A, Trujillo M, Carubelli C, McCoig C, et al. Etiology and treatment of community-acquired pneumonia in ambulatory children. Pediatr Infect Dis J 1999;18:98.
- Johnson JN, Cetta F. Pericardial Disease. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (eds). Moss and Adams Heart Disease in Infants, Children, and Adolescents. 8th ed. Philadelphia, Pa: Lippincott Williams & Wilkins, 2013:1350–62.
Details
| Other ID | JA65RC55VY |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | August 1, 2015 |
| Submission Date | August 1, 2015 |
| Published in Issue | Year 2015 Volume: 9 Issue: 3 |
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The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
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