Abstract
An 11 y –old boy with steroid resistant nephrotic syndrome (SRNS) secondary to focal segmental glomerulosclerosis (FSGS) developed pericardial tamponade during the course of illness. He was promptly managed with pericardiocentesis. Pericardial tamponade is an extremely rare complication in childhood nephrotic syndrome and very few cases have been reported in literature. Recognition of this rare, yet serious and life threatening complication in childhood nephrotic syndrome (NS) is emphasized to prevent fatalities in children with nephrotic syndrome.
References
Kavaz A, Ozçakar ZB, Karadeniz C, Tutar E, Yalçınkaya F. Pericardial tamponade in a child with nephrotic syndrome. Pediatr Nephrol. 2011;26:993–4.
Kirschbaum B, Romhilt DW. Pericardial effusion in nephrotic syndrome. Arch Intern Med. 1988;148:233.
Barratt TM, Niaudet P. Clinical Evaluation. In: Avner ED, Harmon WE, Niaudet P, ed. Pediatric Nephrology. 5th ed. Philadelphia: Lippincott Williams & Willkins; 2004. pp. 391–2.
Vande Walle JG, Donckerwolcke RA. Pathogenesis of edema formation in the nephrotic syndrome. Pediatr Nephrol. 2001;16:283–93.
Gobel U, Mauersberger B, Kettritz R, Bohlender J, Luft FC. Pericardial effusion in the nephrotic syndrome. Clin Nephrol. 2002;58:329–32.
Kietkajornkul C, Klinklom A, Kirawittaya T. Pericardial effusion in childhood nephrotic syndrome. J Med Assoc Thai. 2008;91:s35–40.
Guyton AC, Hall JE. The Body Fluids and Kidneys. In: Guyton AC, Hall JE, eds. Textbook of the Medical Physiology. 11th ed. Philadelphia: Elsevier; 2006. pp. 301–2.
Suri D, Gupta N, Morigeri C, Saxena A, Manoj R. Chylopericardial tamponade secondary to superior vena cava thrombosis in a child with nephrotic syndrome. Pediatr Nephrol. 2009;24:1243–5.
Hauptman PJ, Couper GS, Aranki SF, Kartashov A, Mudge Jr GH, Loh E. Pericardial effusions after cardiac transplantation. J Am Coll Cardiol. 1994;23:1625–9.
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Namdev, S., Krishnamurthy, S., Biswal, N. et al. Pericardial Tamponade in Nephrotic Syndrome: An Uncommon Complication. Indian J Pediatr 80, 598–600 (2013). https://doi.org/10.1007/s12098-012-0858-x
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DOI: https://doi.org/10.1007/s12098-012-0858-x