%0 Journal Article %1 finkelstein_new_1997 %A Finkelstein, Y %A Adler, Y %A Nussinovitch, M %A Varsano, I %A Amir, J %D 1997 %J European Journal of Pediatrics %K Adolescent, Adult, Child, Female, Humans, Infant, Infections, Male, Meningococcal Pericarditis Preschool, %N 8 %P 585--588 %T A new classification for pericarditis associated with meningococcal infection %U http://www.ncbi.nlm.nih.gov/pubmed/9266185 %V 156 %X 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 manifestation of disseminated meningococcal disease; (2) isolated meningococcal pericarditis; (3) reactive (immunopathic) meningococcal pericarditis.

@article{finkelstein_new_1997, 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 manifestation of disseminated meningococcal disease; (2) isolated meningococcal pericarditis; (3) reactive (immunopathic) meningococcal pericarditis.}, added-at = {2011-03-11T10:05:34.000+0100}, author = {Finkelstein, Y and Adler, Y and Nussinovitch, M and Varsano, I and Amir, J}, biburl = {https://www.bibsonomy.org/bibtex/2d1feac20ac029180b775084ee0aca78e/jelias}, interhash = {86cab70502d68d329654e5f1b6c2f879}, intrahash = {d1feac20ac029180b775084ee0aca78e}, issn = {0340-6199}, journal = {European Journal of Pediatrics}, keywords = {Adolescent, Adult, Child, Female, Humans, Infant, Infections, Male, Meningococcal Pericarditis Preschool,}, month = aug, note = {{PMID:} 9266185}, number = 8, pages = {585--588}, timestamp = {2011-03-11T10:05:53.000+0100}, title = {A new classification for pericarditis associated with meningococcal infection}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9266185}, volume = 156, year = 1997 }