Primary Malignant Pericardial Mesothelioma Presenting as Acute Pericarditis.
- Author:
Won Suk CHOI
1
;
Moon Sun IM
;
Ji Hun KANG
;
Yun Gi KIM
;
In Chang HWANG
;
Ju Myung LEE
;
Soryung LEE
;
Hyo Sun SHIN
;
Seung Pyo LEE
;
Goo Yeong CHO
Author Information
- Publication Type:Case Report
- Keywords: Acute pericarditis; Constrictive pericarditis; Primary malignant pericardial mesothelioma
- MeSH: Biopsy; Chest Pain; Constriction; Diagnosis, Differential; Dyspnea; Echocardiography; Edema; Electrocardiography; Fever; Humans; Mesothelioma; Pericardial Effusion; Pericarditis; Pericarditis, Constrictive; Young Adult
- From:Journal of Cardiovascular Ultrasound 2012;20(1):57-59
- CountryRepublic of Korea
- Language:English
- Abstract: We report on a 21-year-old man with fever, dyspnea, and pleuritic chest pain. An electrocardiography showed ST elevation in multiple lead and thoracic echocardiography revealed moderate pericardial effusion. He was initially diagnosed with acute pericarditis, and treated with nonsteroidal anti-inflammatory drugs and colchicines with clinical and laboratory improvement. After 1 month of medication, his symptoms recurred. An echocardiography showed constrictive physiology and the patient was treated with steroid on the top of current medication. The patient had been well for 7 months until dyspnea and edema developed, when an echocardiography showed marked increased pericardial thickness and constriction. Pericardial biopsy was performed and primary malignant pericardial mesothelioma was diagnosed. Malignancy should be considered in the differential diagnosis of recurrent pericarditis.
