+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Neonatal E. coli pericarditis



Neonatal E. coli pericarditis



Journal of Perinatal Medicine 7(1): 23-26



A review of the literature reveals only one case of neonatal Escherichia coli pericarditis. This is a case report of Escherichia coli pericarditis occurring in a two day old infant. The infant initially presented with lethargy and jaundice but this rapidly progressed into shock. Despite vigorous resuscitative efforts, the infant succumbed and at autopsy 30 cc of purulent fluid were obtained. Cultures of the admission blood and post-mortem pericardial effusion grew Escherichia coli. The clinical diagnosis of pericarditis is often difficult because of vague, nonspecific symptoms and signs. The symptoms are usually those of sepsis plus those of impaired circulation due to mechanical embarrassment by accumulating pericardial effusion. It is difficult to differentiate pericarditis with effusion from myocarditis and pericardial effusion secondary to congestive heart failure. The use of pericardiocentesis as a diagnostic tool and echocardiography are the most helpful techniques presently available for diagnosis. Management consists of vigorous supportive efforts, antibiotics, and drainage of the pericardial effusion. Because of the very high mortality associated with this disorder, a high index of suspicion with a vigorous diagnostic and therapeutic approach to the patient is indicated.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 040780255

Download citation: RISBibTeXText

PMID: 370357

DOI: 10.1515/jpme.1979.7.1.23


Related references

Protection against neonatal Escherichia coli diarrhea by vaccination of sows with a novel multivalent vaccine candidate expressing E. coli adhesins associated with neonatal pig colibacillosis. Research in Veterinary Science 94(2): 198-204, 2013

The plasmid of Escherichia coli strain S88 (O45:K1:H7) that causes neonatal meningitis is closely related to avian pathogenic E. coli plasmids and is associated with high-level bacteremia in a neonatal rat meningitis model. Infection and Immunity 77(6): 2272-2284, 2009

On the Theme of the Etiopathogenesis of "uremic Pericarditis". Acute Pericarditis in the Course of Chronic Uremia with Clinical and Sero-Immunological Elements of Influenzal Pericarditis Due to Virus A/Singapore. Cardiologia Pratica 14: 385-393, 1963

Neonatal pericarditis. Indian Pediatrics 35(11): 1129-1131, 1998

Controlling colibacillosis in neonatal calves. 1. Evaluation of multiple-pilus, multiple-capsular phase-cloned Escherichia coli bacterin. 2. Virulence and prevalence of Escherichia coli bearing type 1 pili among isolates from neonatal calf diarrhea. Veterinary Medicine and Small Animal Clinician 79(3): 388-392, 394, 1984

Neonatal Purulent Pericarditis. Apropos of the 1st Recovered Case. Archives Francaises de Pediatrie 22: 238-246, 1965

Neonatal purulent pericarditis. Value of echocardiography and surgical drainage. Archives Francaises de Pediatrie 36(8): 779-784, 1979

Fibrinous pericarditis and pericardial effusion in three neonatal foals. Australian Veterinary Journal 92(10): 392-399, 2014

Neonatal pericarditis as a presenting manifestation of chronic granulomatous disease. Acta Paediatrica 81(10): 849-850, 1992

Bacterial pericarditis (purulent pericarditis, tuberculous pericarditis). Ryoikibetsu Shokogun Shirizu 1996(13): 520-523, 1996

Pyo-pneumo pericarditis due to E. coli. Indian Heart Journal 27(4): 287-288, 1975

Neonatal pericarditis of benign outcome during maternofetal group B streptococcus infection. Archives de Pediatrie 3(2): 187-188, 1996

Protection against neonatal Escherichia coli diarrhoea in pigs by vaccination of sows with a new vaccine that contains purified enterotoxic E. coli virulence factors F4ac, F4ab, F5 and F6 fimbrial antigens and heat-labile E. coli enterotoxin (LT) toxoid. Journal of Veterinary Medicine. B, Infectious Diseases and Veterinary Public Health 52(6): 296-300, 2005

Neonatal pneumatosis coli: a mild form of neonatal necrotizing enterocolitis. Journal of Pediatrics 89(3): 456-459, 1976