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LETTER TO THE EDITOR Table of Contents   
Year : 2015  |  Volume : 12  |  Issue : 3  |  Page : 209
Massive purulent pericarditis in HIV-infected children

1 Medical Academic Center, Bangkok, Thailand
2 Hainan Medical University, Hainan, China

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Date of Web Publication23-Nov-2015

How to cite this article:
Joob B, Wiwanitkit V. Massive purulent pericarditis in HIV-infected children. Afr J Paediatr Surg 2015;12:209

How to cite this URL:
Joob B, Wiwanitkit V. Massive purulent pericarditis in HIV-infected children. Afr J Paediatr Surg [serial online] 2015 [cited 2022 Nov 28];12:209. Available from:

The report on "massive purulent pericarditis in HIV-infected children" is very interesting. [1] Bernadette et al. concluded that "massive purulent pericarditis is quite uncommon, but may still be found in HIV-infected children." [1] In fact, the infectious cause of purulent pericarditis should be kept in mind when one deals with unexplained cardiac tamponade. A well-known rare syndrome namely "Lemierre's syndrome" should be mentioned. This syndrome is composed of "thrombophlebitis of internal jugular vein, septicemia and septic metastatic infection of different organs." [2] Massive purulent pericarditis in the patient with Lemierre's syndrome is also observable. An important concern is the isolated pathogen in the patient can methicillin-resistant Staphylococcus aureus which is hard to manage. [2],[3] This might or might not associate with HIV infection. To early diagnose is required, and a point-of-care ultrasonography is reported to be a useful diagnostic tool for preliminary diagnosis. [4]

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   References Top

Bernadette NN, Kamgaing N, Monebenimp F, Simeu C. Human immunodeficiency virus infection in a child revealed by a massive purulent pericarditis mistaken for liver abscess due to Staphylococcus aureus. Afr J Paediatr Surg 2015; 12:71-3.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
Gunatilake SS, Yapa LG, Gallala M, Gamlath R, Rodrigo C, Wimalaratna H. Lemierre's syndrome secondary to community-acquired methicillin-resistant Staphylococcus aureus infection presenting with cardiac tamponade, a rare disease with a life-threatening presentation: A case report. Int J Emerg Med 2014; 7:39.  Back to cited text no. 2
Bagavathy K, Raju SK, Joseph R, Kumar A. Cardiac tamponade complicating purulent pericarditis due to community acquired methicilin resistant Staphylococcus aureus (CA-MRSA). Conn Med 2014;78:163-5.  Back to cited text no. 3
O'Conghaile S, Sultan SF, Leonard AD. Cardiac tamponade secondary to purulent pericarditis: Prompt diagnosis by point-of-care ultrasound. Anaesth Intensive Care 2014;42:148.  Back to cited text no. 4

Correspondence Address:
Beuy Joob
Medical Academic Center, Bangkok
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0189-6725.170234

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