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Treatment of chronic resistant paediatric idiopathic pericardial effusion with intrapericardial injection of corticosteroids 4-year-old girl with rapid full resolution after intrapericardial injection of corticosteroids

Published online by Cambridge University Press:  15 December 2021

Takhfif Othman*
Affiliation:
Department of Cardiac Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center, Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Osama Eldadah
Affiliation:
Department of Cardiac Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center, Riyadh, Saudi Arabia King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
*
Author for correspondence: Takhfif Othman, King Abdulaziz Cardiac Center, Section of Pediatric Cardiology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Khashmalaan, AR Rimayah, P.O. Box: 22490 - Mail Code: 1420, Riyadh 11426, Kingdom of Saudi Arabia. Tel: (+966-11) 801 1111, Ext: 17728. E-mail: Takhfif.awad@gmail.com

Abstract

Non-steroidal anti-inflammatory drugs are the conventional treatment for pericarditis. However, some patients will still suffer from persistence pericardial effusion despite exhausting all conventional management options. A 4-year-old girl with idiopathic pericardial effusion who did not respond to 2 months of conventional therapy had complete resolution of effusion within 5 days, with no recurrence after administration of intrapericardial steroids. As far as we know, this is the first published paediatric case who has shown a similar outcome to that seen in adult studies.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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