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- Title
Challenges in diagnosing pediatric pericarditis and the etiology in a remote area during the COVID-19 pandemic: a socio-clinical dilemma.
- Authors
Liwan, Armand Setiady; Kartika Yantie, Ni Putu Veny; Gunawijaya, Eka
- Abstract
Inflammation of the visceral and parietal surfaces of the pericardium is defined as pericarditis. It can evolve to excessive production of pericardial effusion if the speed of fluid accumulation is faster than the absorption. Acute pericarditis is rare in children but it can lead to circulatory collapse and death. It accounts for <0.2% of the emergency visits of children without prior heart diseases in tertiary pediatric emergency settings. The etiology of acute pericarditis varies depending on geography, and the most common etiology in children are bacterial infection, viral pericarditis, inflammatory or connective tissue diseases, malignancies, metabolic diseases, and post-cardiac surgery. Idiopathic pericarditis is presumed to have viral or post-viral etiology. It accounts for 37-68% of admissions in children with pericardial effusions or acute pericarditis.
- Subjects
PAPUA New Guinea; BACTERIAL disease complications; PERICARDIAL effusion; MIDDLE-income countries; FUROSEMIDE; MEDICAL quality control; ABDOMINAL pain; EDEMA; HEALTH insurance; PERICARDITIS; COLCHICINE; SOCIAL status; TELEMEDICINE; VIRUS diseases; BLOOD pressure; METHYLPREDNISOLONE; DYSPNEA; ALBUMINS; BACKACHE; LOW-income countries; MEDICAL care costs; DISEASE complications; SYMPTOMS; ADOLESCENCE
- Publication
Paediatrica Indonesiana, 2024, Vol 64, Issue 2, p184
- ISSN
0030-9311
- Publication type
Article
- DOI
10.14238/pi64.2.2024.184-92