A 7-year-old girl presented with fibrinous purulent pericardial effusion secondary to Staphylococcus aureus osteomyelitis. Poor drainage was achieved by pericardiocentesis, but intrapericardial fibrinolytic therapy with streptokinase restored effective drainage and the patient recovered rapidly.
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References
1.
RosenHNadkarniVTherouxMPadmanRKleinJ. Intrapleural streptokinase as adjunctive treatment for persistent empyema in pediatric patients. Chest1993;103: 1190–3.
2.
AyeRWFroeseDPHillLD. Use of purified streptokinase in empyema and hemothorax. Am J Surg1991;161: 560–2.
3.
CrossJHDe GiovanniJVSiloveED. Use of streptokinase to aid in drainage of postoperative pericardial effusion. Br Heart J1989;62: 217–9.
4.
SchuhF. Erfahrungen über die Paracentese der Brust und des Herz-beutels. Medizinisches Jahrbuch des kaiserlichen und königlichen Staates Wien1841;33: 388.
5.
BastianAMeissnerALinsMSiegelEGMollerFSimonR. Pericardiocentesis: differential aspects of a common procedure. Intensive Care Med2000;26: 572–6.
6.
KirklinJWBarratt-BoyesBG. Cardiac surgery. New York: Churchill-Livingstone, 1993:1683–98.
