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===Mycotic aneurysm===
* Viral pericarditis<ref name="pmid15120056">{{cite journal| author=Maisch B, Seferović PM, Ristić AD, Erbel R, Rienmüller R, Adler Y et al.| title=Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology. | journal=Eur Heart J | year= 2004 | volume= 25 | issue= 7 | pages= 587-610 | pmid=15120056 | doi=10.1016/j.ehj.2004.02.002 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15120056  }} </ref>
{{Details-tx|Mycotic aneurysm#Treatment}}
:* '''CMV pericarditis'''
 
::* Preferred regimen: [[immunoglobulin]] 1 time per day 4 ml/kg on day 0, 4, and 8; 2 ml/kg on day 12 and 16.
* '''Empiric antimicrobial therapy'''
::: Note: Symptomatic treatment is given to the patients with viral [[pericarditis]] while in large effusions and [[cardiac tamponade]] [[pericardiocentesis]] is necessary. The use of [[corticosteroid]] therapy is contraindicated except in patients with secondary [[tuberculous pericarditis]], as an adjunct to [[tuberculosis]] treatment. Drainage, if needed is done.
:* Preferred regimen: [[Vancomycin]] 2 g/day IV divided q6-12h targeting trough concentration of 15-20 μg/mL (for critically ill patient, start with a loading dose of 25 mg/kg followed by 15 mg/kg q12h) {{and}} ([[Ceftriaxone]] 2 g IV q24h {{or}} [[Piperacillin-Tazobactam]] 3.375 g IV q6h {{or}} [[Ciprofloxacin]] 400 mg IV q12h)
:* '''Coxsackie B pericarditis'''
:* Alternative regimen: Consider substituting [[Daptomycin]] for [[Vancomycin]]. Consider [[Cefepime]], [[Imipenem-Cilastatin]], [[Meropenem]], or [[Ertapenem]] for Gram-negative bacteria.
::* Preferred regimen: [[ Interferon]] alpha or beta 2,5 Mio. IU/m2 surface area s.c. 3×per week.
:: Note: A 6-week course of antibiotic therapy from the time of surgical procedure is usually required.
::: Note: Symptomatic treatment is given to the patients with viral [[pericarditis]] while in large effusions and [[cardiac tamponade]] [[pericardiocentesis]] is necessary. The use of [[corticosteroid]] therapy is contraindicated except in patients with secondary [[tuberculous pericarditis]], as an adjunct to [[tuberculosis]] treatment. Drainage, if needed is done.
:* '''Adenovirus and parvovirus B19 perimyocarditis'''
::* Preferred regimen: [[Immunoglobulin]] 10 g intravenously at day 1 and 3 for 6–8 hours
::: Note: Symptomatic treatment is given to the patients with viral [[pericarditis]] while in large effusions and [[cardiac tamponade]] [[pericardiocentesis]] is necessary. The use of [[corticosteroid]] therapy is contraindicated except in patients with secondary [[tuberculous pericarditis]], as an adjunct to [[tuberculosis]] treatment. Drainage, if needed is done.

Revision as of 21:37, 28 May 2015

  • Viral pericarditis[1]
  • CMV pericarditis
  • Preferred regimen: immunoglobulin 1 time per day 4 ml/kg on day 0, 4, and 8; 2 ml/kg on day 12 and 16.
Note: Symptomatic treatment is given to the patients with viral pericarditis while in large effusions and cardiac tamponade pericardiocentesis is necessary. The use of corticosteroid therapy is contraindicated except in patients with secondary tuberculous pericarditis, as an adjunct to tuberculosis treatment. Drainage, if needed is done.
  • Coxsackie B pericarditis
  • Preferred regimen: Interferon alpha or beta 2,5 Mio. IU/m2 surface area s.c. 3×per week.
Note: Symptomatic treatment is given to the patients with viral pericarditis while in large effusions and cardiac tamponade pericardiocentesis is necessary. The use of corticosteroid therapy is contraindicated except in patients with secondary tuberculous pericarditis, as an adjunct to tuberculosis treatment. Drainage, if needed is done.
  • Adenovirus and parvovirus B19 perimyocarditis
  • Preferred regimen: Immunoglobulin 10 g intravenously at day 1 and 3 for 6–8 hours
Note: Symptomatic treatment is given to the patients with viral pericarditis while in large effusions and cardiac tamponade pericardiocentesis is necessary. The use of corticosteroid therapy is contraindicated except in patients with secondary tuberculous pericarditis, as an adjunct to tuberculosis treatment. Drainage, if needed is done.
  1. Maisch B, Seferović PM, Ristić AD, Erbel R, Rienmüller R, Adler Y; et al. (2004). "Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology". Eur Heart J. 25 (7): 587–610. doi:10.1016/j.ehj.2004.02.002. PMID 15120056.