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Preterm infantta katater ilişkili sepsisin neden olduğu kardiyak tamponad

Year 2019, , 316 - 318, 20.09.2019
https://doi.org/10.19161/etd.611541

Abstract

Prematüre yenidoğanda kateter ilişkili sepsise
bağlı kardiyak tamponad nadir görülen ve hayatı tehdit eden bir
komplikasyondur. Ancak hızlı teşhis ve müdahale bu durumu tersine çevirebilir.
Biz, kateterle ilişkili sepsise sekonder perikardiyal efüzyon ve kardiyak
tamponad ile karşımıza çıkan dokuz günlük preterm bir bebek sunduk. Bu raporda
iki önemli konu vurgulanmaktadır: periferal yerleşimli santral venöz kateteri
(PICC) olan bir yenidoğanda, hiperosmolar parenteral solüsyonun bileşimi ile
ilgili kanıt bulunmamasına rağmen, perikardiyal efüzyonun ortaya çıkabileceği
ve sepsisin bu kritik durum için bir neden olabileceğidir.

References

  • 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.
  • 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.
  • Cartagena AM, Levin TL, Issenberg H, Goldman HS. Pericardial effusion and cardiac hemangioma in the neonate. Pediatr Radiol. 1993; 23 (5): 384-5.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • Lawrenz-Wolf B, Hermann B. Pericardial tamponade caused by catheter infection in an extremely small premature infant. Monatsschr Kinderheilkd. 1993; 141 (12): 932-5.
  • Durão D, Fernandes AP, Marum S, Marcelino P, Mourão L. Cardiac tamponade secondary to methicillin-resistant Staphylococcus aureus pericarditis. Rev Port Cardiol. 2008; 27 (7-8): 953-8.

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

Year 2019, , 316 - 318, 20.09.2019
https://doi.org/10.19161/etd.611541

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.

References

  • 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.
  • 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.
  • Cartagena AM, Levin TL, Issenberg H, Goldman HS. Pericardial effusion and cardiac hemangioma in the neonate. Pediatr Radiol. 1993; 23 (5): 384-5.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • Lawrenz-Wolf B, Hermann B. Pericardial tamponade caused by catheter infection in an extremely small premature infant. Monatsschr Kinderheilkd. 1993; 141 (12): 932-5.
  • Durão D, Fernandes AP, Marum S, Marcelino P, Mourão L. Cardiac tamponade secondary to methicillin-resistant Staphylococcus aureus pericarditis. Rev Port Cardiol. 2008; 27 (7-8): 953-8.
There are 10 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Sinem Akbay 0000-0003-1266-320X

Özkan İlhan 0000-0002-6124-9796

Berat Kanar 0000-0001-7886-8932

Seyma Memur 0000-0001-6099-7496

Sümer Sütçüoğlu 0000-0002-9598-1993

Onur Işık 0000-0002-6826-8084

Ali Rahmi Bakiler 0000-0001-8234-3071

Esra Arun Özer 0000-0003-2634-7136

Publication Date September 20, 2019
Submission Date August 6, 2018
Published in Issue Year 2019

Cite

Vancouver Akbay S, İlhan Ö, Kanar B, Memur S, Sütçüoğlu S, Işık O, Bakiler AR, Arun Özer E. A cardiac tamponade caused by catheter-related sepsis in a preterm infant. ETD. 2019;58(3):316-8.

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