TITLE:
Etiological and Evolutionary Profile of the Child’s Pericarditis in Tropical Environments
AUTHORS:
Richard Azagoh-Kouadio, Jacob Slanziahuelie Enoh, Jean-Jacques Yao Atteby, Line Guei Couitchéré, Lassina Cisse, Yves N’da Kouakou N’goran, Kouadio Euloge Kramoh, Oulaï Soumahoro
KEYWORDS:
Pericarditis, Etiology, Evolution, Children, Tropical Diseases
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.7 No.3,
August
29,
2017
ABSTRACT: Background: Liquid pericarditis is a frequent cause of
hospitalization in developing countries. Objective: of this study was to
describe the etiological and evolutionary aspects of fluid pericarditis in
pediatric cardiology at ICA. Methods: This was a retrospective study of
42 cases of fluid pericarditis diagnosed among 202 children hospitalized over a
five-year period (1st January 2009 to 31st December
2014). All patients with pericardial effusion were included in the study. Results: Prevalence was estimated at 20.8% of hospitalizations, sex ratio was 1.1 with a
female predominance (52%) and the mean age at 9.2 years (11 days to 15 years).
The etiologic varieties identified were: tuberculosis 22 cases, 52%, rheumatic
pericarditis 6 cases or 14.3%, chronic parietal endocarditis 5 cases (11.9%),
bacterial pericarditis with trivial germ 3 cases (7.1% 3 cases (7.1%),
post-surgery syndrome 2 cases (4.8%), umbilical post-catheterization 1 case
(2.4%). HIV serology was positive in 11.9% of cases. The progression was
favorable in 55% of the cases with 10% of deaths. Conclusion: Fluid
pericarditis in children is a severe condition that is clearly on the rise
today, especially in immunocompromised patients. Optimal management of fluid
pericarditis in children is the best guarantee to avoid short-term tamponade
and in the medium term constriction.