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European Journal of Pediatrics

, Volume 156, Issue 8, pp 585–588 | Cite as

A new classification for pericarditis associated with meningococcal infection

  • Y. Finkelstein
  • Y. Adler
  • M. Nussinovitch
  • I. Varsano
  • J. Amir
REVIEW

Abstract

Acute meningococcal pericarditis is a rare clinical disorder. Our review of the literature disclosed that current classifications are confusing since they fail to differentiate between two distinct criteria: time and causality. We suggest a new classification of the various states of meningococcal pericarditis on the basis of the pathophysiological process: disseminated meningococcal disease with pericarditis (purulent, culture-positive, associated with meningococcal bacteraemia); isolated meningococcal pericarditis (purulent, culture-positive but without signs of meningeal or other clinical systemic involvement); and reactive meningococcal pericarditis (immunological, late-onset, culture-negative, resembling post-viral pericarditis). It is essential that clinicians recognize the various states of the disease, since they differ in natural history, treatment and prognosis.

Conclusion From personal experience and a literature review it emerges that meningococcal pericarditis should be classified as: (1) Pericarditis as local mani festation of disseminated meningococcal disease; (2) isolated minengococcal pericarditis; (3) reactive (immunopathic) meningococcal pericarditis.

Key words Pericarditis Meningococcaemia Meningococcal meningitis 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • Y. Finkelstein
    • 1
  • Y. Adler
    • 2
  • M. Nussinovitch
    • 1
  • I. Varsano
    • 1
  • J. Amir
    • 1
  1. 1.Department of Paediatrics C, Schneider Children's Medical Centre of Israel, Beilinson Campus, Petah Tiqva 49 202, Israel Tel. 972-3-939-3700; Fax: 972-3-939-3801IL
  2. 2.Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petah Tiqva and Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelIL

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