Bacterial pericarditis in a child with asthma (CROSBI ID 211293)
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Podaci o odgovornosti
Richter, Darko ; Malčić, Ivan ; Grizelj, Ruža ; Radonić, Marija ; Kačić- Miličić, Zrinka
engleski
Bacterial pericarditis in a child with asthma
A six-year old girl with atopic asthma developed middle lobe pneumonia and contiguous purulent pericarditis while on therapy with cromolyn sodium dry powder. A strain of Streptococcus viridans resistant to penicillin was isolated from the pericardium and tracheal aspirate. Treatment required surgical drainage besides a double antibiotic regimen. The patient was discharged on fluticasone propionate pressurized aerosol delivered via babyhaler and was doing well on follow-up. One possible explanation for the primary Streptococcus viridans pneumonia in this girl is aspiration favoured by forcible dry powder inhalation of her anti-asthma drug. The severity of the pneumonia and extension into the pericardium were probably linked to the antimicrobial resistance of the agent.
pericarditis ; streptococcal infection ; Streptococcus oralis
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