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Use of Streptokinase in Fibrinous Purulent Pericardial Effusion

Haim Üstünsoy, MD, Muammer Cumhur Sivrikoz, MD, Metin Topal, MD, Kutluhan Yilmaz, MD¹, Bülent Koçer, MD

Department of Cardiovascular and Thoracic Surgery 1 Department of Pediatric Diseases Gaziantep University School of Medicine Gaziantep, Turkey
For reprint information contact: Haim Üstünsoy, MD Tel: 90 342 336 5400 Ext. 267 Fax: 90 342 336 5505 email: hustunsoy{at}yahoo.com Department of Cardiovascular and Thoracic Surgery, Gaziantep University School of Medicine, Kolejtepe, Gaziantep 27070, Turkey.

A 7-year-old girl presented with fibrinous purulent pericardial effusion secondary to Staphylococcus aureus osteomyelitis. Poor drainage was achieved by pericardiocentesis, but intrapericardial fibrinolytic therapy with streptokinase restored effective drainage and the patient recovered rapidly.