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Ann Thorac Surg 1976;21:281-283
© 1976 The Society of Thoracic Surgeons

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Articles

The Management of Hemophilus influenzae, Type B, Pericarditis

From the Department of Cardiovascular Surgery and the Division of Infectious Diseases, Department of Medicine, Children's Hospital Medical Center, and the Department of Surgery, Harvard Medical School, Boston, MA.

Accepted for publication August 6, 1975.

^* Address reprint requests to Dr. Sade, Division of Thoracic Surgery, Medical University of South Carolina, 80 Barre St, Charleston, SC 29401

The incidence of Hemophilus influenzae, type B, infections in children has been increasing recently, so the number of cases of pericarditis is likely to rise also. We describe the clinical manifestations and treatment of H. influenzae, type B, pericarditis based on 4 patients and a review of the literature. The most common complication is cardiac tamponade, which requires drainage. All patients should be treated with antibiotics (chloramphenicol, ampicillin) and a drainage procedure. Because of several recently reported cases of subsequent constrictive pericarditis, we recommend anterior interphrenic pericardiectomy both for drainage and to prevent constrictive pericarditis. With appropriate therapy the survival rate should be very high.

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				D. D. M. Mann-Segal, E. A. Shanahan, B. Jones, and D. Ramasamy PURULENT PERICARDITIS: REDISCOVERY OF AN OLD REMEDY J. Thorac. Cardiovasc. Surg., February 1, 1996; 111(2): 487 - 488. [Full Text]

				W. E. Feldman Bacterial Etiology and Mortality of Purulent Pericarditis in Pediatric Patients: Review of 162 Cases Arch Pediatr Adolesc Med, June 1, 1979; 133(6): 641 - 644. [Abstract] [PDF]