Association between Complicated Pneumonia and Viral Pericarditis in a Pediatric Patient: Case Report
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Abstract
Abstract
The coexistence of complicated pneumonia and viral pericarditis in a pediatric patient is a rare clinical scenario that presents diagnostic and therapeutic challenges. This case involves a 14-year-old adolescent who was admitted with symptoms of general discomfort, fever, cough, and difficulty breathing. Initial evaluation revealed pulmonary parenchymal consolidation, an enlarged cardiac silhouette, and pleural effusion on radiographic imaging, leading to the initial diagnosis of complicated pneumonia. However, due to the clinical presentation and the finding of cardiomegaly, an echocardiogram was performed, confirming the diagnosis of pericarditis. Specific viruses (rhinovirus and enterovirus) were identified as the etiological agents. The combination of complicated pneumonia and viral pericarditis represents a significant clinical challenge that requires a comprehensive evaluation and a collaborative multidisciplinary approach.
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Copyright (c) 2025 Algarín RS, et al.

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Ricardo Sánchez Algarín*, Department of Pediatrics
Ricardo Andrés Sanchez Algarín, general practitioner from Universidad Libre of Barranquilla, specialist in Epidemiology from Universidad Autonoma of Bucaramanga, currently a 3nd year resident of the Pediatrics
Postgraduate Program at Universidad Simon Bolivar with a diploma in pediatric and neonatal intensive care.
Dr. Angelica Mendoza , Department of Pediatrics, Colombia
Angelica Maria Mendoza Caballero, doctor graduated from the Simón Bolivar University of Colombia, specialist in Pediatrics from the same institution and Master in clinical medicine from the University of Alcalá in Spain,
Moreno-Pérez D, Andrés Martín A, Tagarro García A, Escribano Montaner A, Figuerola Mulet J, García García JJ, et al. Community acquired pneumonia in children: Outpatient treatment and prevention. An Pediatr (Barc). 2015;83(6):439.e1-7. Spanish. Available from: https://doi.org/10.1016/j.anpedi.2014.10.028
Shorr AF, Zilberberg MD, Micek ST, Kollef MH. Viruses are prevalent in nonventilated hospital-acquired pneumonia. Respir Med. 2017;122:76-80. Available from: https://doi.org/10.1016/j.rmed.2016.11.023
Yusuf SW, Hassan SA, Mouhayar E, et al. Pericardial disease: a clinical review. Expert Rev Cardiovasc Ther. 2016;14(4):525-39. Available from: https://doi.org/10.1586/14779072.2016.1134317
Sogaard KK, Farkas DK, Ehrenstein V, Bhaskaran K, Botker HE, Sorensen HT. Pericarditis as a marker of occult cancer and a prognostic factor for cancer mortality. Circulation. 2017;136(11):996-1006. Available from: https://doi.org/10.1161/circulationaha.116.024041
Shahid R, Jin J, Hope K, Tunuguntla H, Amdani S. Pediatric pericarditis: Update. Curr Cardiol Rep. 2023;25(3):157-70. Available from: https://doi.org/10.1007/s11886-023-01839-0
Shakti D, Hehn R, Gauvreau K, Sundel RP, Newburger JW. Idiopathic pericarditis and pericardial effusion in children: contemporary epidemiology and treatment. J Am Heart Assoc. 2014;3(6):e001483. Available from: https://doi.org/10.1161/jaha.114.001483
de Benedictis FM, Kerem E, Chang AB, Colin AA, Zar HJ, Bush A. Complicated pneumonia in children. Lancet. 2020;396(10253):786-98. Available from: https://doi.org/10.1016/s0140-6736(20)31550-6
Raymond TT, Das A, Manzuri S, Ehrett S, Guleserian K, Brenes J. Pediatric COVID-19 and pericarditis presenting with acute pericardial tamponade. World J Pediatr Congenit Heart Surg. 2020;11(6):802-804. Available from: https://doi.org/10.1177/2150135120949455
Dimopoulou D, Spyridis N, Dasoula F, Krepis P, Eleftheriou E, Liaska M, et al. Pericarditis as the main clinical manifestation of COVID-19 in adolescents. Pediatr Infect Dis J. 2021;40(5):e197-e199. Available from: https://doi.org/10.1097/inf.0000000000003096
Krasic S, Prijic S, Ninic S, Borovic R, Petrovic G, Stajevic M, et al. Predictive factors of recurrence after pediatric acute pericarditis. J Pediatr (Rio J). 2021;97(3):335-341. Available from: https://doi.org/10.1016/j.jped.2020.06.007
Lazarou E, Tsioufis P, Vlachopoulos C, Tsioufis C, Lazaros G. Acute pericarditis: Update. Curr Cardiol Rep. 2022;24(8):905-913. Available from: https://doi.org/10.1007/s11886-022-01710-8
McGuire M, Harvey W, Brady T, Nguyen AD. Diagnosing and treating pericarditis and myocarditis in the emergency department. Emerge Med Prat. 2023;25(7):1-24. Epub 2023 Jul 1. Available from: https://pubmed.ncbi.nlm.nih.gov/37352407/
Chiabrando JG, Bonaventura A, Vecchié A, Wohlford GF, Mauro AG, Jordan JH, et al. Management of acute and recurrent pericarditis: JACC state-of-the-art review. J Am Coll Cardiol. 2020;75(1):76-92. Available from: https://doi.org/10.1016/j.jacc.2019.11.021
Welch TD, Oh JK. Constrictive pericarditis. Cardiol Clin. 2017;35(4):539-549. Available from: https://doi.org/10.1016/j.ccl.2017.07.007
Imazio M, Brucato A, Pluymaekers N, Breda L, Calabri G, Cantarini L, et al. Recurrent pericarditis in children and adolescents: A multicenter cohort study. J Cardiovasc Med (Hagerstown). 2016;17(9):707-712. Available from: https://doi.org/10.2459/jcm.0000000000000300