Cardiac tamponade caused by tuberculosis pericarditis in renal transplant recipients.
10.4174/jkss.2011.80.Suppl1.S40
- Author:
Jong Man KIM
;
Sung Joo KIM
;
Jae Won JOH
;
Choon Hyuck David KWON
;
Yong Bin SONG
;
Milljae SHIN
;
Ju Ik MOON
;
Gum O JUNG
;
Gyu Seong CHOI
;
Bok Nyeo KIM
;
Suk Koo LEE
- Publication Type:Case Report
- Keywords:
Pericardiac tamponade;
Renal transplantation;
Tuberculosis;
Tuberculosis pericarditis
- MeSH:
Blood Pressure;
Cardiac Tamponade;
Chest Pain;
Echocardiography;
Emergencies;
Fever;
Heart;
Humans;
Kidney Transplantation;
Male;
Middle Aged;
Mycobacterium tuberculosis;
Pericardial Effusion;
Pericardiocentesis;
Pericarditis;
Thorax;
Transplants;
Tuberculosis
- From:Journal of the Korean Surgical Society
2011;80(Suppl 1):S40-S42
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 50-year-old male, renal transplant recipient, was admitted with fever and chest discomfort. At admission, chest radiologic finding was negative and echocardiography showed minimal pericardial effusion. After 2 days of admission, chest pain worsened and blood pressure fell to 60/40 mmHg. Emergency echocardiography showed a large amount of pericardial effusion compressing the entire heart. Pericardiocentesis was performed immediately. Mycobacterium tuberculosis was isolated from pericardial fluid. Tuberculosis pericarditis should be considered as the cause of cardiac tamponade in renal transplant recipients, even with the absence of pericardial effusion in the initial study or suggestive history.
