Factors that increase the risk for pericarditis include:
- Weakened immune system that is not able to fight off infections and other diseases
- Surgery to repair heart defects or heart disease
- Infection from virus, bacteria, parasite, or fungus
- Chest trauma or injury
- Autoimmune disorders, such as systemic lupus erythematosus
Chest pain is a common symptom. It may start over the left side or center of the chest and spread to the neck and left shoulder. The pain is usually a sharp, stabbing pain that may be worse with deep breathing or lying down.
Other symptoms may include:
- Shortness of breath
- Fever and chills
- Pain when swallowing
- Weakness and fatigue
- Loss of appetite
- Irregular heartbeat
You will be asked about your child’s symptoms and medical history. A physical exam will be done. The doctor will listen for a grating or rubbing sound in your child’s heart. If the condition is severe, there may also be a crackle sound in your child’s lungs.
Images may be taken to evaluate the heart and surrounding tissue. This can be done with:
- Chest x-ray
- Heart or chest MRI scan or CT scan
Your child's heart activity may be tested. This can be done with an electrocardiogram (EKG).
Your child's bodily fluids may be tested. This can be done with:
- Blood tests
The illness can range from mild to life-threatening. Acute inflammatory pericarditis usually improves with treatment within a few weeks or months. Pericarditis caused by chronic inflammatory diseases, like lupus or rheumatoid arthritis , may last longer or occur again.
Treatment options include:
The doctor may advise medication to:
- Decrease inflammation
- Manage pain—may be over-the-counter or prescription medication depending on the degree of pain
Antibiotics may be given if the pericarditis is associated with a bacterial infection.
For severe pericarditis, your child may need:
- Pericardiocentesis—fluid around the heart is removed with a needle
- Pericadiectomy—the sac around the heart is removed—rarely done
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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American Heart Association http://www.heart.org
National Heart, Lung and Blood Institute http://www.nhlbi.nih.gov
Canadian Cardiovascular Society http://www.ccs.ca
Canadian Family Physician http://www.cfp.ca
Acute and recurrent pericarditis. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115401/Acute-and-recurrent-pericarditis . Updated September 26, 2017. Accessed December 27, 2017.
Pediatric pericarditis. Cincinnati Children's website. Available at: http://www.cincinnatichildrens.org/health/info/heart/diagnose/peri.htm. Updated July 2016. Accessed December 27, 2017.
Pericarditis. Seattle Children's Hospital website. Available at http://www.seattlechildrens.org/medical-conditions/heart-blood-conditions/pericarditis/. Accessed December 27, 2017.