Sinem AKBAY, Özkan İLHAN, Berat KANAR, Şeyma MEMUR, Sümer SÜTÇÜOĞLU, Onur IŞIK, Ali Rahmi BAKİLER, Esra ARUN ÖZER

A cardiac tamponade caused by catheter-related sepsis in a preterm infant

Cardiac tamponade due to catheter related sepsis in premature neonate is a rare and life-threatening complication; but prompt diagnosis and intervention can reverse this situation. We report a nine-day-old preterm infant who presented with pericardial effusion and cardiac tamponade secondary to catheter related sepsis. This report highlights two important aspects: occurrence of pericardial effusion in a neonate with peripherally inserted central venous catheter (PICC), with no evidence of composition of hyperosmolar parenteral solution, and awareness of sepsis as a cause for this critical condition.

Preterm infantta katater ilişkili sepsisin neden olduğu kardiyak tamponad

Prematüre yenidoğanda kateter ilişkili sepsise bağlı kardiyak tamponad nadir görülen ve hayatı tehdit eden bir komplikasyondur. Ancak hızlı teşhis ve müdahale bu durumu tersine çevirebilir. Biz, kateterle ilişkili sepsise sekonder perikardiyal efüzyon ve kardiyak tamponad ile karşımıza çıkan dokuz günlük preterm bir bebek sunduk. Bu raporda iki önemli konu vurgulanmaktadır: periferal yerleşimli santral venöz kateteri (PICC) olan bir yenidoğanda, hiperosmolar parenteral solüsyonun bileşimi ile ilgili kanıt bulunmamasına rağmen, perikardiyal efüzyonun ortaya çıkabileceği ve sepsisin bu kritik durum için bir neden olabileceğidir.

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