Emergency centre diagnosis and treatment of purulent pericarditis: A case report from Tanzania.

ABSTRACT:

Introduction

Purulent pericarditis poses diagnostic and therapeutic challenges, especially in resource-limited settings due to the unavailability of diagnostic tools, equipment, and expertise.

Case report

A three-year-old female presented to the emergency centre at Muhimbili National Hospital in Dar es Salaam, Tanzania with altered mental status, lethargy, intermittent fevers, worsening difficulty in breathing, and progressive lower extremity swelling over two months. The child was in shock upon arrival. Point-of-care ultrasound demonstrated cardiac tamponade secondary to purulent pericarditis. An ultrasound guided pericardiocentesis and lavage was successfully done in the emergency centre and antibiotics were started. Though definitive management (pericardiectomy) was delay

SUBMITTER: Shari CR 

PROVIDER: S-EPMC6223587 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature