Pancarditis: a rare complication of tropical pyomyositis |
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Authors: | Akhtar Khurram Sultan Mehboob Akbar Hajra Ahmed Waqar Sadiq Nadeem Saleem Kamal Nafees Shahid |
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Institution: | Department of Paediatric Cardiology, Armed Forces Institute of Cardiology, National Institute of Heart Diseases, Rawalpindi. khurramadiba@gmail.com |
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Abstract: | Tropical pyomyositis is a bacterial infection of the skeletal muscles leading to abscess formation, occurring in the tropical areas, often following minor trauma. We report a case of pancarditis as the direct complication of pyomyositis in a 10-year-old girl who presented with painful swelling of her right thigh, high grade fever and impaired consciousness. Echocardiography showed pericardial effusion with strands and a large vegetation in the left ventricle cavity. She was treated successfully with open heart surgical drainage and intravenous antibiotics. We emphasize early diagnosis and prompt treatment of pyomyositis to reduce its associated mortality and morbidities. |
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