1.Tuberculous Pericarditis Presenting as Multiple Free Floating Masses in Pericardial Effusion.
Shin Ae YOON ; Youn Soo HAHN ; Jong Myeon HONG ; Ok Jun LEE ; Heon Seok HAN
Journal of Korean Medical Science 2012;27(3):325-328
Pericarditis is a rare manifestation of tuberculosis (Tb) in children. A 14-yr-old Korean boy presented with cardiac tamponade during treatment of pulmonary tuberculosis. He developed worsening anemia and persistent fever in spite of anti-tuberculosis medications. Echocardiography found free floating multiple discoid masses in the pericardial effusion. The masses and exudates were removed by pericardiostomy. The masses were composed of pink, amorphous meshwork of threads admixed with degenerated red blood cells and leukocytes with numerous acid-fast bacilli, which were confirmed as Mycobacterium species by polymerase chain reaction. The persistent fever and anemia were controlled after pericardiostomy. This is the report of a unique manifestation of Tb pericarditis as free floating masses in the effusion with impending tamponade.
Adolescent
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Cardiac Tamponade/etiology
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Echocardiography
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Humans
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Male
;
Pericardial Effusion/*diagnosis/etiology/surgery/ultrasonography
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Pericardiectomy
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Pericarditis, Tuberculous/complications/*diagnosis/ultrasonography
2.A Case of Behcet's Disease with Pericarditis, Thrombotic Thrombocytopenic Purpura, Deep Vein Thrombosis and Coronary Artery Pseudo Aneurysm.
Chang Mo KWON ; Seung Hyun LEE ; Jin Ho KIM ; Kyu Hyung LEE ; Hyun Do KIM ; Yeong Hoon HONG ; Choong Ki LEE
The Korean Journal of Internal Medicine 2006;21(1):50-56
Behcet's disease with concomitant thrombotic thrombocytopenic purpura (TTP), coronary artery stenosis and coronary artery pseudo aneurysm is rare. Here we report a case of Behcet's disease with several cardiovascular complications, namely: pericarditis, deep vein thrombosis (DVT), TTP, coronary artery stenosis, and a coronary artery pseudo aneurysm. A 37-year-old female presented with sudden dyspnea and syncope at our emergency room and underwent pericardiectomy and pericardial window formation for the diagnosis of cardiac tamponade with acute hemorrhagic pericarditis. Thereafter, TTP and DVT complicated her illness. After confirmation of Behcet's disease on the basis of a history of recurrent oral and genital ulcers and erythema nodosum, remission was achieved after treatment with methylprednisolone pulse therapy, colchicine, catheter directed thrombolysis and thrombectomy. However, whilst maintaining anticoagulation therapy, a newly developed pericardial aneurysmal dilatation was noted on follow-up radiologic evaluation. Further evaluation revealed right coronary artery stenosis and a left coronary artery pseudo aneurysm; these additional problems were treated with the nonsurgical insertion of an endovascular graft stent . At the time of writing three months later after stent insertion, the aneurysm has continued to regress and no additional complications have intervened with combined immunosuppressive therapy.
Venous Thrombosis/diagnosis/*etiology
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Purpura, Thrombotic Thrombocytopenic/diagnosis/*etiology
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Pericarditis/diagnosis/*etiology
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Humans
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Female
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Echocardiography
;
Coronary Vessels/*physiopathology
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Coronary Stenosis/diagnosis/*etiology
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Cardiac Tamponade/diagnosis/*etiology
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Behcet Syndrome/*complications/diagnosis
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Aneurysm, False/diagnosis/*etiology
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Adult
3.Nutmeg liver cardiac cirrhosis caused by constrictive pericarditis.
Kyoung Hwang SHIN ; Hyun Don JOO ; Il Han SONG
The Korean Journal of Internal Medicine 2015;30(6):938-939
No abstract available.
Aged
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Biopsy
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Humans
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Liver Cirrhosis/diagnosis/*etiology/therapy
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Male
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Pericarditis, Constrictive/*complications/diagnosis/therapy
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Tomography, X-Ray Computed
4.Clinical and pathological characteristics of constrictive pericarditis in China.
Li-Hua ZHANG ; Chao NI ; Li-Lin GUO
Chinese Journal of Cardiology 2008;36(9):812-815
OBJECTIVETo summarize the clinical and pathological characteristics of constrictive pericarditis in China.
METHODData from 150 patients with constrictive pericarditis who admitted to our hospital from 2000 to 2007 were retrospectively analyzed.
RESULTSConstriction pericarditis was detected by echocardiography in 149 out of 150 patients. Pericardial effusion was evidenced in 59.3% patients (89/150). The diagnostic accuracy rate for identifying constrictive pericarditis by echocardiography (98.7%, 107/109) was comparable to that of surgical diagnosis (100%, 109/109). Tuberculosis was the main cause of constrictive pericarditis in this cohort (78.7%, 118/150) including 25 (16.7%) cases with pathological or etiological evidences of tubercular pericarditis, 8 (5.3%) cases with pathologically active tuberculous focus elsewhere in the body, 66 (44.0%) cases with typical clinical tuberculosis manifestation and responded to anti-tubercular therapy and 19 (12.7%) cases with a diagnosis of suspicious tuberculosis. Pericardiectomy was performed in 108 cases and pericardial biopsy and surgical drainage was performed in 1 patient. In hospital death rate was 8.7% (13/150, 4 tubercular patients and 9 non-tubercular).
CONCLUSIONTuberculosis is the leading cause of constrictive pericarditis in this cohort and the best diagnosis tool is echocardiography other than pathological and etiological findings in pericardium.
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Echocardiography ; Female ; Humans ; Male ; Middle Aged ; Mycobacterium tuberculosis ; Pericarditis, Constrictive ; diagnosis ; etiology ; microbiology ; pathology ; Pericarditis, Tuberculous ; complications ; diagnosis ; pathology ; Retrospective Studies ; Young Adult
5.A Case of Acute Eosinophilic Myopericarditis Presenting with Cardiogenic Shock and Normal Peripheral Eosinophil Count.
Il Suk SOHN ; Jong Chun PARK ; Jae Hun CHUNG ; Kye Hun KIM ; Youngkeun AHN ; Myung Ho JEONG ; Jeong Gwan CHO
The Korean Journal of Internal Medicine 2006;21(2):136-140
Eosinophilic myocarditis usually results from myocardial damage as a result of drugs or parasites, and is generally associated with increased peripheral eosinophil count. This form of myocarditis is difficult to diagnose clinically. A 25 year-old previously healthy woman was transferred from a local clinic because of hypotension and dyspnea with sudden cardiogenic shock after a three day history of gastrointestinal illness. Echocardiography revealed concentric left ventricular wall thickening with moderate pericardial effusion. Biopsy of endomyocardial tissue from the right ventricle showed diffuse infiltration of inflammatory cells, mostly eosinophils, even though the patient had a peripheral eosinophil count that was normal at the time of biopsy. The patient was treated with corticosteroids for the symptoms of pericarditis, and she recovered without cardiac sequelae, clinically and echocardiographically. We here report a case of acute eosinophilic myopericarditis, with cardiogenic shock, diagnosed by endomyocardial biopsy with normal peripheral eosinophil count at the time of biopsy, and complete recovery without sequelae.
Shock, Cardiogenic/blood/*etiology
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Pericarditis/blood/*diagnosis
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Myocarditis/blood/*diagnosis
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Leukocyte Count
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Humans
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Female
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*Eosinophils
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Eosinophilia/blood/*diagnosis
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Adult
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Acute Disease
6.Fever in a Patient with a Previous Gastrectomy.
Debra Gf SEOW ; Po Fun CHAN ; Boon Lock CHIA ; Joshua Py LOH
Annals of the Academy of Medicine, Singapore 2016;45(3):117-120
Adenocarcinoma
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surgery
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Candidiasis
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etiology
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Cardiac Tamponade
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diagnosis
;
etiology
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Echocardiography
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Electrocardiography
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Esophageal Fistula
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complications
;
diagnostic imaging
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Fever
;
etiology
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Gastrectomy
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Haemophilus Infections
;
etiology
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Heart Diseases
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complications
;
diagnostic imaging
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Humans
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Male
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Middle Aged
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Pericardial Effusion
;
diagnostic imaging
;
etiology
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Pericarditis
;
diagnostic imaging
;
etiology
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Postoperative Complications
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diagnostic imaging
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Staphylococcal Infections
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etiology
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Stomach Neoplasms
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surgery
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Streptococcal Infections
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etiology
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Tomography, X-Ray Computed