Key result
Primary purulent pericarditis progresses to secondary endocarditis in an 18-month-old boy.
Highlights a rare presentation of primary purulent pericarditis leading to secondary endocarditis in a pediatric patient.
Prompts vigilance for primary purulent pericarditis in febrile infants; leaves open optimal management and endocarditis risk stratification.
Purulent pericarditis is a rare diagnosis to be made. It is exceedingly rare as a primary infection. We describe the case of an 18-month-old boy who presented with primary purulent pericarditis and developed a secondary endocarditis. Current literature on the subject is reviewed and discussed.
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Bielefeld et al. (2014) studied this question. Primary purulent pericarditis presented in an 18-month-old boy who subsequently developed secondary endocarditis.
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