Vascular neoplasia masquerading as cellulitis and persistent hemorrhagic pericardial effusion

Tufted angioma and kaposiform hemangioendothelioma are considered to represent two ends of the spectrum of benign vascular neoplasms that predominantly present during infancy or early childhood. We report a rare case of a 5-month-old infant with complicated vascular neoplasm involving the pericardia...

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Bibliographic Details
Published inAnnals of pediatric cardiology Vol. 15; no. 3; pp. 304 - 307
Main Authors Thangaraju, Sharan, Relan, Jay, Sinha, Aditi, Arava, Sudheer, Khanna, Neena, Raju, Sreenivasa
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.05.2022
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
Cardiology
Care and treatment
Case Report
Caspofungin
Cellulitis
kaposiform hemangioendothelioma
Pediatric cardiology
Pericarditis
Sarcoma
Skin
tufted angioma
Tumors
vascular malformation
Vein & artery diseases
Vincristine
tufted angioma
Kaposiform hemangioendothelioma
vascular malformation
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Summary:Tufted angioma and kaposiform hemangioendothelioma are considered to represent two ends of the spectrum of benign vascular neoplasms that predominantly present during infancy or early childhood. We report a rare case of a 5-month-old infant with complicated vascular neoplasm involving the pericardial cavity and skin over cervical region, masquerading as infective pericarditis with cellulitis. The patient responded dramatically to therapy with oral prednisolone and sirolimus, with a significant reduction of size of skin lesions and complete resolution of pericardial effusion over 8 weeks. The report also highlights the importance of a multidisciplinary team in managing such complicated cases.
ISSN:0974-2069
0974-5149
DOI:10.4103/apc.apc_140_21