Published online October 1, 2008
PEDIATRICS Vol. 122 No. 4 October 2008, pp. e945-e947 (doi:10.1542/10.1542/peds.2008-0725)
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EXPERIENCE & REASON

Severe Cardiovascular and Thromboembolic Consequences of Pneumococcal Infection in a Child

Afraa Al-Sabbagh, MB ChB, MRCPCHa, Katherine Catford, MB BChir, MA, MRCPCHb, Ian Evans, MB BCh, MA, MRCP, MRCPCHb and Sarah L. Morley, MBBS, FRCPCH, PhDa

a Pediatric Intensive Care Unit, Addenbrookes Hospital, Cambridge, United Kingdom
b Pediatric Department, West Suffolk Hospital NHS Trust, Bury St Edmunds, Suffolk, United Kingdom

ABSTRACT

We present an unusually severe case of pneumococcal infection in an immunocompetent child who progressed from pneumonia to empyema, pericarditis with cardiac tamponade, and severe venous thromboembolism leading to life-threatening pulmonary embolus.

Key Words: pericarditis • pneumococcal infection • pericardial effusion • infant vaccination program • pulmonary embolus

Abbreviations: CT—computed tomography

Accepted Jul 1, 2008.


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