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Case Reports: Unusual presentation of more common disease/injury
Histoplasma associated pericarditis with pericardial tamponade in a child
  1. Aravinth Prasanth Jawahar1,
  2. Bijoy Thattaliyath2,
  3. Aditya Badheka1 and
  4. Madhuradhar Chegondi1
  1. 1Pediatric Critical Care Medicine, The University of Iowa Stead Family Children's Hospital, Iowa City, Iowa, USA
  2. 2Division of Pediatric Cardiology, The University of Iowa Stead Family Children's Hospital, Iowa City, Iowa, USA
  1. Correspondence to Dr Madhuradhar Chegondi; madhuradhar-chegondi{at}uiowa.edu

Abstract

Histoplasma-mediated pericarditis is rare, and it occurs due to host-mediated inflammatory or immune response to adjacent mediastinal adenitis or pneumonitis. It is usually self-limited and rarely progresses to a disseminated infection in an immunocompetent individual. In rare instances, it can occur without pulmonary manifestations, making the diagnosis challenging given the broad list of differentials that can be considered as in our patient who initially presented with an isolated pericardial effusion with tamponade needing emergent pericardiocentesis.

  • Pericardial disease
  • Infectious diseases
  • Paediatric intensive care

https://doi.org/10.1136/bcr-2023-256265

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    Footnotes

    • Twitter @aditya_badheka

    • Contributors APJ: the first author was responsible for direct patient contact on admission, obtaining patient consent, co-ordination of care among multiple subspecialties and made substantial contributions to the conception or design and drafted a large portion of the manuscript. BT was the primary cardiologist involved in the care for the patient on subsequent follow-up visits, acquiring and interpretation of the echocardiogram and cardiac MRI images for publication and was responsible for revising the manuscript critically for important intellectual content and final approval of the version published. AB was responsible for substantial contributions to the conception or design of the manuscript, interpretation of data, revising it critically for important intellectual content and the final approval of the version to be published. MC: the corresponding author was responsible for overseeing the care of the patient described in the case on admission until discharge and made substantial contributions to the conception or design of the manuscript, interpretation of data, revising it critically for important intellectual content and final approval of the version to be published. All authors agree to be accountable for the article and ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.