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Article
March 1967

Purulent Pericarditis Complicating Meningococcal MeningitisReport of a Child With Cardiac Tamponade and Survival

Author Affiliations

Bridgeport, Conn
From the Cardiovascular Laboratory, St. Vincent's Hospital, Bridgeport, Conn. Dr. Nespole is now at St. Christopher's Hospital, Philadelphia.

Am J Dis Child. 1967;113(3):385-389. doi:10.1001/archpedi.1967.02090180145017
Abstract

PERICARDITIS, complicating meningococcal meningitis, is extremely rare. The exact incidence is not known, but in a series of reviews1-5 totaling 9,714 nonfatal cases of meningococcal infections during the sulfonamide era, this complication was found only twice. Sporadic cases6-14 have also been reported during this time, but unfortunately these reports give no information as to frequency. This paper will report another patient with pericarditis complicating meningococcal meningitis. The patient is the youngest with this complication reported to date and, in addition, her pericarditis was purulent and was massive enough to produce life-threatening cardiac tamponade.

Report of a Case  A 3-year-old white girl was admitted to St. Vincent's Hospital on Sept 16, 1962, in semicoma. Apart from a mild "cold" one week earlier, the child was well until two days before admission when she developed fever, vomiting, and headache. Her symptoms persisted and she became increasingly lethargic. She was then

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