P0286 - Colchicine for Acute Idiopathic Pericarditis in Pediatrics

Introduction: Colchicine is an anti-inflammatory drug which is a standard treatment for pericarditis in adults in combination with NSAIDs. However, some cases reported in the literature suggests that colchicine might be effective in treatment of refractory pericarditis and preventing recurrences of idiopathic pericarditis in children.

Case presentation: We presents a 7-year-old boy who was diagnosed with acute idiopathic pericarditis that was refractory to ibuprofen. After introducing Colchicine he improved clinically with resolution of the chest pain and normalizing of his inflammatory markers in less than 72 hours.

Conclusion: Colchicine is a cheap medication and proved to be effective in adults, thus it should be studied further among pediatric cases.