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Atypical presentation of tuberculous constrictive pericarditis: case report and review of the literature.
MedLine Citation:
PMID:  22870743     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
An 18-year-old Romanian man with no known history of cardiac disease was admitted to the hospital for the management of right heart failure and bilateral pleural effusions. Further investigations revealed mediastinal lymph nodes and a constrictive cardiac haemodynamic pattern. Lymph node biopsy demonstrated a purulent liquid from which cultures were positive for Mycobacterium tuberculosis. The patient improved rapidly with conservative medical management involving antituberculous therapy and diuretics. Tuberculous constrictive pericarditis is rare in Western countries but may still present in migrant populations. As shown in this case, the possibility of atypical and reversible presentations with neither calcifications nor thickening of the pericardium must not be forgotten.
Authors:
Emmanuel Catez; Cynthia Barbraud; Kerry Hunter; Mihai Strachinaru
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  67     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-08-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  337-42     Citation Subset:  IM    
Affiliation:
Dept. of Cardiology, Centre Hospitalier Universitaire Brugmann, Brussels, Belgium. emmanuel.catez@chu-brugmann.be
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