| Tuberculous pericarditis: three cases and brief review. | |
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MedLine Citation:
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PMID: 20499793 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Tuberculous pericarditis is a form of extrapulmonary tuberculosis that is considered unusual in western coun-tries. Diagnosis is often challenging, while proper treatment has a major impact on prognosis. We present three interesting cases, with complicated or unusual manifestations of tuberculous pericarditis: a patient with cardiac tamponade as the initial manifestation of tuberculosis; a patient progressing to constriction despite adequate treatment; and a patient receiving anti-TNFalpha, who developed pericarditis in the context of immune reconstitution inflammatory syndrome. We briefly review the clinical features of tuberculous pericarditis, whilst our main focus is on the available diagnostic techniques and treatment aspects. In conclusion, tuberculous pericarditis remains an active thread in the western world. A high index of suspicion combined with the use of all available diagnostic techniques are important to increase diagnostic yield. Prompt and effective treatment is essential to reduce morbidity and mortality. |
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Authors:
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E I Metaxas; K Kotsifas; G Tatsis; P Simpsiris; I Ntanos; G Tsoukalas |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace / Fondazione clinica del lavoro, IRCCS [and] Istituto di clinica tisiologica e malattie apparato respiratorio, Universit? di Napoli, Secondo ateneo Volume: 73 ISSN: 1122-0643 ISO Abbreviation: Monaldi Arch Chest Dis Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-05-26 Completed Date: 2010-06-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9307314 Medline TA: Monaldi Arch Chest Dis Country: Italy |
Other Details:
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Languages: eng Pagination: 44-50 Citation Subset: IM |
Affiliation:
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Pulmonary Medicine Department, Evaggelismos General Hospital, Athens, Greece. eumetaxas@yahoo.gr |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Antitubercular Agents / administration & dosage Cardiac Tamponade / complications*, surgery Drug Therapy, Combination Humans Immune Reconstitution Inflammatory Syndrome / complications* Immunologic Factors / adverse effects Male Middle Aged Mycobacterium tuberculosis / isolation & purification Pericarditis, Tuberculous / complications*, diagnosis*, drug therapy Tumor Necrosis Factor-alpha / adverse effects |
| Chemical | |
Reg. No./Substance:
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0/Antitubercular Agents; 0/Immunologic Factors; 0/Tumor Necrosis Factor-alpha |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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