The frequency of pericardial effusions in bacterial meningitis

W. P. Laird, J. D. Nelson, F. D. Huffines

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Because of our experience with four cases of purulent pericarditis complicating bacterial meningitis during a 13-month period, we performed a prospective study to determine the frequency of this complication. Echocardiograms were done on 100 patients with bacterial meningitis. Small or moderate pericardial effusions were detected in 19 patients, but none had symptoms or signs related to the effusion. Pericardiocentesis was done in one infant; all the other effusions resolved spontaneously. Patients with effusion were significantly younger than those without this complication, but no other significant risk factors were identified. A literature survey indicated that symptomatic pericarditis occurs in fewer than 1% of patients with meningitis. Conversely, in series of cases of purulent pericarditis, associated meningitis was reported in 12% of patients. We concluded that pericardial infection is common in patients with meningitis but that it is usually of no clinical significance and resolves with antibiotic therapy.

Original languageEnglish (US)
Pages (from-to)764-770
Number of pages7
JournalPediatrics
Volume63
Issue number5
StatePublished - Jan 1 1979

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Laird, W. P., Nelson, J. D., & Huffines, F. D. (1979). The frequency of pericardial effusions in bacterial meningitis. Pediatrics, 63(5), 764-770.