Case Report

A cardiac tamponade caused by catheter-related sepsis in a preterm infant

Volume: 58 Number: 3 September 20, 2019
  • Sinem Akbay *
  • Özkan İlhan
  • Berat Kanar
  • Seyma Memur
  • Sümer Sütçüoğlu
  • Onur Işık
  • Ali Rahmi Bakiler
  • Esra Arun Özer
TR EN

A cardiac tamponade caused by catheter-related sepsis in a preterm infant

Abstract

Cardiac tamponade due to catheter related sepsis in premature neonate is a rare and life-threatening complication; but prompt diagnosis and intervention can reverse this situation. We report a nine-day-old preterm infant who presented with pericardial effusion and cardiac tamponade secondary to catheter related sepsis. This report highlights two important aspects: occurrence of pericardial effusion in a neonate with peripherally inserted central venous catheter (PICC), with no evidence of composition of hyperosmolar parenteral solution, and awareness of sepsis as a cause for this critical condition.

Keywords

References

  1. Warren M, Thompson KS, Popek EJ, Vogel H, Hicks J. Pericardial effusion and cardiac tamponade in neonates: sudden unexpected death associated with total parenteral nutrition via central venous catheterization. Ann Clin Lab Sci. 2013; 43 (2): 163-71.
  2. Iyer VH, Sharma DM, Charki S, Mohanty PK. Cardiac tamponade in a neonate: a dreadful condition-need for functional echo. BMJ Case Rep. 2014; 1-4.
  3. Cartagena AM, Levin TL, Issenberg H, Goldman HS. Pericardial effusion and cardiac hemangioma in the neonate. Pediatr Radiol. 1993; 23 (5): 384-5.
  4. Pizzuti A, Parodi E, Abbondi P, Frigerio M. Cardiac tamponade and successful pericardiocentesis in an extremely low birth weight neonate with percutaneously inserted central venous line: a case report. Cases J. 2010; 3: 15.
  5. Nowlen TT, Rosenthal GL, Johnson GL, Tom DJ, Vargo TA. Pericardial Effusion and Tamponade in Infants with Central Catheters. Pediatrics. 2002; 110 (1 Pt 1): 137-42.
  6. Konjevıć S, Djukıć D, Stanımırovıć B, Blagojevıć A, Bobıć V, et al. Peripherally inserted central catheter complications in neonates – our experiences. -Signa Vitae. 2015; 10 (1): 16-9.
  7. Borghesi A, Stronati M. Strategies for the prevention of hospital-acquired infections in the neonatal intensive care unit. J Hosp Infect. 2008; 68 (4): 293-300.
  8. Ohki Y, Yoshizawa Y, Watanabe M, Kuwashima M, Morikawa A. Complications of percutaneously inserted central venous catheters in Japanese neonates. Pediatr Int. 2008; 50 (5): 636-9.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Case Report

Authors

Özkan İlhan
0000-0002-6124-9796
Türkiye

Berat Kanar
0000-0001-7886-8932
Türkiye

Seyma Memur
0000-0001-6099-7496
Türkiye

Sümer Sütçüoğlu
0000-0002-9598-1993
Türkiye

Onur Işık
0000-0002-6826-8084
Türkiye

Ali Rahmi Bakiler
0000-0001-8234-3071
Türkiye

Esra Arun Özer
0000-0003-2634-7136
Türkiye

Publication Date

September 20, 2019

Submission Date

August 6, 2018

Acceptance Date

September 24, 2018

Published in Issue

Year 2019 Volume: 58 Number: 3

Vancouver
1.Sinem Akbay, Özkan İlhan, Berat Kanar, Seyma Memur, Sümer Sütçüoğlu, Onur Işık, Ali Rahmi Bakiler, Esra Arun Özer. A cardiac tamponade caused by catheter-related sepsis in a preterm infant. EJM. 2019 Sep. 1;58(3):316-8. doi:10.19161/etd.611541

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