Critical cardiac tamponade in newborn, life-saving emergency interventions and possibility of parvovirus B19 congenital infection

• Authors: Radoslaw Jaworski , Ireneusz Haponiuk , Ninela Irga-Jaworska , Jolanta Zablocka , Maciej Chojnicki , Mariusz Steffens , Jacek Juscinski
• Languages of publication: EN

Abstracts

EN

The presence of pericardial effusion in neonates usually indicates a poor prognosis. Here, we report a case of isolation of cardiac tamponade in a newly born. This may be related to vertical human parvovirus B19, an infection with atypical clinical manifestation. Any neonate with unexplained fetal pericardial effusion should always be tested for parvovirus B19 infection, even in the absence of known and proved fetal exposure. Despite the etiology of a tamponade the only reasonable procedure is a surgical evacuation during diagnosis.

Keywords

EN

Cardiac tamponade; Newborns; Pediatric cardiac surgery; Parvovirus B19

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2013
• Volume: 8
• Issue: 4
• Pages: 420-423

Dates

published

1 - 8 - 2013

online

12 - 6 - 2013

Contributors

author

Radoslaw Jaworski

• Department of Pediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, 1-6 Nowe Ogrody Street, 80-803, Gdansk, Poland

author

Ireneusz Haponiuk

• Department of Pediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, 1-6 Nowe Ogrody Street, 80-803, Gdansk, Poland

author

Ninela Irga-Jaworska

• Department of Pediatric Oncology, Medical University of Gdansk, Gdansk, Poland

author

Jolanta Zablocka

• Department of Pediatric Cardiology, Pediatric Province Hospital in Olsztyn, Olsztyn, Poland

author

Maciej Chojnicki

• Department of Pediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, 1-6 Nowe Ogrody Street, 80-803, Gdansk, Poland

author

Mariusz Steffens

• Department of Pediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, 1-6 Nowe Ogrody Street, 80-803, Gdansk, Poland

author

Jacek Juscinski

• Department of Pediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, 1-6 Nowe Ogrody Street, 80-803, Gdansk, Poland

References

• [1] Sekar P, Hornberger LK, Smallhorn JS. A case of restrictive cardiomyopathy presenting in fetal life with an isolated pericardial effusion. Ultrasound Obstet Gynecol. 2010; 35:369–372 http://dx.doi.org/10.1002/uog.7510[Crossref][WoS]
• [2] Yezewski KA, Ferroni KM. Very large isolated fetal pericardial effusion with spontaneous resolution. Journal of Diagnostic Medical Sonography. 2004; 20:194–197 http://dx.doi.org/10.1177/8756479303262868[Crossref]
• [3] Yaegashi N, Niinuma T, Chisaka H, Watanabe T, Uehara S, Okamura K, et al. The incidence of, and factors leading to, parvovirus B19-related hydrops fetalis following maternal infection; report of 10 cases and meta-analysis. J Infect. 1998; 37:28–35 http://dx.doi.org/10.1016/S0163-4453(98)90346-2[Crossref]
• [4] Sarafidis K, Drossou-Agakidou V, Evdoridou I, Petridou S, Hatzisevastou-Loukidou H, Dadamojas C, et al. Hydrothorax as a sole manifestation of congenital parvovirus B19 infection. Am J Perinatol. 2008; 25:551–554 http://dx.doi.org/10.1055/s-0028-1085621[Crossref][WoS]
• [5] Savarese I, De Carolis MP, Costa S, De Rosa G, De Carolis S, Lacerenza S, et al. Atypical manifestations of congenital parvovirus B19 infection. Eur J Pediatr. 2008; 167:1463–1466 http://dx.doi.org/10.1007/s00431-008-0688-z[WoS][Crossref]
• [6] Keeler ML. Human parvovirus B-19: not just a pediatric problem. J Emerg Med. 1992; 10:39–44 http://dx.doi.org/10.1016/0736-4679(92)90009-I[Crossref]
• [7] Parilla BV, Tamura RK, Ginsberg NA. Association of parvovirus infection with isolated fetal effusions. Am J Perinatol. 1997; 14:357–358 http://dx.doi.org/10.1055/s-2007-994160[Crossref]
• [8] Dijkmans AC, de Jong EP, Dijkmans BA, Lopriore E, Vossen A, Walther FJ, et al. Parvovirus B19 in pregnancy: prenatal diagnosis and management of fetal complications. Curr Opin Obstet Gynecol. 2012; 24:95–101 http://dx.doi.org/10.1097/GCO.0b013e3283505a9d[Crossref]
• [9] Beigi RH, Wiesenfeld HC, Landers DV, Simhan HN. High rate of severe fetal outcomes associated with maternal parvovirus B19 infection in pregnancy. Infect Dis Obstet Gynecol. 2008; 2008:524601 http://dx.doi.org/10.1155/2008/524601[Crossref]
• [10] Weiffenbach J, Bald R, Gloning KP, Minderer S, Gärtner BC, Weidner A, et al. Serological and virological analysis of maternal and fetal blood samples in prenatal human parvovirus B19 infection. J Infect Dis. 2012; 205:782–788 http://dx.doi.org/10.1093/infdis/jir855[Crossref]
• [11] Anderson MJ, Higgins PG, Davis LR, Willman JS, Jones SE, Kidd IM, et al. Experimental parvoviral infection in humans. J Infect Dis. 1985; 152:257–265 http://dx.doi.org/10.1093/infdis/152.2.257[Crossref]
• [12] Donders GG, Van Lierde S, Van Elsacker-Niele AM, Moerman P, Goubau P, Vandenberghe K. Survival after intrauterine parvovirus B19 infection with persistence in early infancy: a two-year follow-up. Pediatr Infect Dis J. 1994; 13:234–236 http://dx.doi.org/10.1097/00006454-199403000-00016[Crossref]
• [13] Peters MT, Nicolaides KH. Cordocentesis for the diagnosis and treatment of human fetal parvovirus infection. Obstet Gynecol. 1990; 75:501–504
• [14] Dieck D, Schild RL, Hansmann M, Eis-Hübinger AM. Prenatal diagnosis of congenital parvovirus B19 infection: value of serological and PCR techniques in maternal and fetal serum. Prenat Diagn. 1999; 19:1119–1123 http://dx.doi.org/10.1002/(SICI)1097-0223(199912)19:12<1119::AID-PD716>3.0.CO;2-X[Crossref]
• [15] Nunoue T, Kusuhara K, Hara T. Human fetal infection with parvovirus B19: maternal infection time in gestation, viral persistence and fetal prognosis. Pediatr Infect Dis J. 2002; 21:1133–1136 http://dx.doi.org/10.1097/00006454-200212000-00009[Crossref]
• [16] Erdman DD, Usher MJ, Tsou C, Caul EO, Gary GW, Kajigaya S, et al. Human parvovirus B19 specific IgG, IgA and IgM antibodies and DNA in serum specimens from persons with erythema infectiosum. J Med Virol. 1991; 35:110–115 http://dx.doi.org/10.1002/jmv.1890350207[Crossref]

Identifiers

DOI

10.2478/s11536-013-0189-y