RESUMO
We present the case of a premature neonate with pericardial effusion secondary to extravasation of total parenteral nutrition from a mispositioned/migrated umbilical venous catheter. Emergency pericardiocentesis was complicated by an intrapericardial thrombus, which was managed conservatively with spontaneous resolution within 24 hours. This case illustrates that the rare complication of an intrapericardial thrombus after pericardiocentesis can be successfully managed conservatively with close monitoring in haemodynamically stable paediatric patients.
Assuntos
Tamponamento Cardíaco , Derrame Pericárdico , Trombose , Humanos , Recém-Nascido , Tamponamento Cardíaco/diagnóstico , Tamponamento Cardíaco/etiologia , Derrame Pericárdico/diagnóstico , Derrame Pericárdico/etiologia , Pericardiocentese/efeitos adversos , Trombose/etiologia , Trombose/complicaçõesRESUMO
Sporadic cases of diphtheria are very rare throughout Europe. A 3-year-old incompletely vaccinated girl was admitted with pharyngotonsillitis caused by diphtheria. On day 9 of her illness, renal and cardiac failure with a third-degree AV-block occurred. Unfortunately, she died within 36 h of admission to intensive care, despite pacemaker placement, the administration of antibiotics and diphtheria antitoxin. The delayed antitoxin administration 7 days after admission to hospital was related to a lack of availability and knowledge of its availability in Europe and this is likely to have contributed to the unfavourable outcome.