Document Detail

Tuberculous pericarditis associated with hoarseness of voice due to left recurrent laryngeal nerve paralysis.
MedLine Citation:
PMID:  22675007     Owner:  NLM     Status:  In-Data-Review    
A 16-years-old Egyptian girl presented with massive pericardial effusion, fever, weight loss and hoarseness of voice. Laryngoscopy showed left vocal cord paralysis. Chest CT revealed pericardial effusion, amalgamated mediastinal lymph nodes and clear lung fields. Pericardial fluid analysis revealed a lymphocytic exudate with high adenosine deaminase enzyme level, negative stains and cultures for bacteria and fungi. Despite a negative nucleic acid test for tuberculosis; antituberculous and corticosteroids therapies resulted in resolution of pericardial effusion after 3 weeks but hoarseness of voice persisted. Few cases of vocal cord paralysis with tuberculous mediastinal lymphadenopathy were reported in English literature.
Ragai Fouda; Hussam Ammar; Ramy Edward; Waleed M Alnabawy; Iman M Fouda
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Publication Detail:
Type:  Journal Article     Date:  2011-10-11
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Department of Internal Medicine, Kasr Elaini Hosp-Cairo University, Cairo, Egypt.
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