Purulent Pericarditis in Children Is Pericardiotomy Needed?

Objectives: This study aimed to describe our experience with pediatric bacterial pericarditis and review the optimal therapy for this entity. Methods: This is a retrospective study in a pediatric intensive care unit in a university hospital. Three children were diagnosed with purulent pericarditis. They were all treated with antibiotics, echocardiography-guided pericardial fluid drainage, and placement of a pericardial catheter, with no need for thoracotomy or pericardial window. Results: All 3 children fully recovered, and none developed constrictive pericarditis. Conclusions: Children with purulent pericarditis usually can be treated with antibiotics and drainage of pericardial effusion, with no need for thoracotomy or pericardial window.