Öz
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.
Anahtar Kelimeler
Kardiyak tamponad katater yenidoğan perikardiyal efüzyon sepsis
Kaynakça
- 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.
Öz
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.
Anahtar Kelimeler
Cardiac tamponade catheter newborn pericardial effusion sepsis.
Kaynakça
- 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.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Eylül 2019 |
| Gönderilme Tarihi | 6 Ağustos 2018 |
| Yayımlandığı Sayı | Yıl 2019 |