1/14. pericarditis due to mycobacterium tuberculosis and mycobacterium fortuitum: a case report.In this case study, pericarditis results from mycobacterium tuberculosis and mycobacterium fortuitum. Both organisms were isolated from three different clinical specimens: a pericardial fluid, pericardium, and a thoracentesis fluid. A mixed mycobacterial culture was initially suspected upon examining Ziehl-Neelsen stained smears prepared from the primary cultures following seven to ten days of incubation. Dilutions and subcultures were subsequently performed, confirming the presence of two different organisms.- - - - - - - - - - ranking = 1keywords = pericarditis (Clic here for more details about this article) |
2/14. myocarditis and pericarditis with tamponade associated with disseminated tuberculosis.Tuberculous involvement of the myocardium is relatively rare. Tuberculous pericarditis with tamponade and myocarditis in a young woman with no evidence of immunosuppression and disseminated tuberculosis is described. Three distinct forms of myocardial involvement are recognized: nodular tubercles (tuberculomas) of the myocardium; miliary tubercles of the myocardium; and an uncommon diffuse infiltrative type. The myocardium is involved by a hematogenous route, by lymphatic spread or contiguously from the pericardium. The diagnosis can be made by endomyocardial biopsy if clinical suspicion is strong and echocardiographic findings are suggestive. Antituberculosis drugs may be curative. With an increasing prevalence of tuberculosis, the possibility of potentially lethal myocardial tuberculosis is important to consider.- - - - - - - - - - ranking = 5keywords = pericarditis (Clic here for more details about this article) |
3/14. Subacute tuberculous pericarditis with fibroelastic constriction diagnosed upon pericardiectomy.A patient with subacute pericarditis showed no evidence suggesting tuberculosis until pericardiectomy was performed because of hemodynamic deterioration. The excised pericardium had a rubbery fibroelastic consistency; histologically, there were granulomatous changes characteristic of tuberculosis. Although tuberculous pericarditis is a difficult diagnosis, this case illustrates the diagnostic and therapeutic importance of early pericardiectomy before myocardial inflammatory infiltration occurs together with end-stage pericardial fibrosis and calcification.- - - - - - - - - - ranking = 6keywords = pericarditis (Clic here for more details about this article) |
4/14. Sudden death caused by myocardial tuberculosis: case report and review of the literature.A 25-year-old fit man died suddenly while playing social soccer. autopsy revealed an infiltrative lesion involving the left ventricle with overlying pericarditis. No other significant pathologic changes were observed. Histologic examination showed necrotizing granulomatous inflammation. No acid-fast bacilli were demonstrated in the pericardial fluid or on histologic examination. The presence of mycobacterium tuberculosis dna complex was confirmed by use of the ligase chain reaction technique. The differential diagnosis of myocardial tuberculosis includes sarcoidosis, rheumatic fever, rheumatoid arthritis, giant-cell-containing tumors, idiopathic (giant-cell) myocarditis, and bacterial infections such as tularemia and brucellosis. This case illustrates the protean manifestations of tuberculosis and highlights the use of molecular biologic techniques in arriving at a definitive diagnosis in cases of suspected tuberculosis.- - - - - - - - - - ranking = 1keywords = pericarditis (Clic here for more details about this article) |
5/14. Tuberculosis myocarditis: a case report.A 35-year old man presented with fever, weight loss, drenching night sweats and symptoms of cardiac failure for three months. Examination revealed wasting, peripheral oedema, bilateral pleural effusion and constrictive pericarditis. A diagnosis of constrictive pericarditis with bilateral pleural effusion probably due to tuberculosis was made. Human immunodeficiency virus antibodies and six sputum for acidfast bacilli were negative. Electrocardiograph revealed low voltages globally and echocardiography showed global myocardial hypokinesia. He had pericardiectomy, pericardial and pleural histology was non-specific inflammatory reaction but myocardial histology showed granulomatous changes of tuberculous myocarditis. We suggest that in experienced hands myocardial biopsy could be useful in making the diagnosis.- - - - - - - - - - ranking = 2keywords = pericarditis (Clic here for more details about this article) |
6/14. Tuberculous pericardial effusion after coronary artery bypass graft.We describe a case of a recurrent pericardial effusion after coronary artery bypass grafting. This was initially considered to be due to post-pericardiotomy syndrome, but was later treated empirically as tuberculosis. After definitive surgery for this condition, pericardial histology and immunohistochemistry confirmed the diagnosis of tubercular pericarditis. At 4-months follow-up, while continuing anti-tuberculous therapy and corticosteroids, the patient showed consistent improvement without further recurrence of his pericardial effusion. Local reactivation of tuberculosis after pericardiotomy has not been previously reported and merits careful consideration in population groups in which tuberculosis is highly endemic.- - - - - - - - - - ranking = 1keywords = pericarditis (Clic here for more details about this article) |
7/14. Tuberculous pericarditis.Tuberculous pericarditis is a rare but dangerous disease with a mortality of 20% to 40%. early diagnosis and institution of appropriate therapy are critical, and open pericardial biopsy appears to be the most reliable diagnostic tool. Corticosteroids, in conjunction with antituberculous medication, are effective in suppressing the early granulomatous inflammatory response. pericardiectomy should be considered early when the response to a medical regimen is delayed or inadequate.- - - - - - - - - - ranking = 5keywords = pericarditis (Clic here for more details about this article) |
8/14. Ga-67 cardiac uptake.A case of positive Ga-67 image due to tuberculous pericarditis is presented. The pattern and distribution of the uptake suggested that the concentration of the activity was mainly in the inflamed pericardium. The known causes of Ga-67 cardiac uptake were reviewed, and a differential diagnosis is given.- - - - - - - - - - ranking = 1keywords = pericarditis (Clic here for more details about this article) |
9/14. Inflammatory constriction following complete pericardiectomy in tuberculous constrictive pericarditis.A 13-year-old boy with active tuberculous constrictive pericarditis underwent complete pericardiectomy together with antituberculous therapy and a short course of steroids. Six weeks following the surgery, he was seen with clinical and hemodynamic findings of recurrent pericardial constriction, presumably due to an inflammatory collection around the heart. Symptoms gradually resolved within six months with resumption of steroid therapy. Repeat hemodynamic study showed normal hemodynamics. The case demonstrates the production of cardiac constriction by nonpericardial inflammatory tissue and the possible benefits of steroid therapy in the treatment of tuberculous constrictive pericarditis.- - - - - - - - - - ranking = 6keywords = pericarditis (Clic here for more details about this article) |
10/14. Tuberculous pericarditis developing during chemotherapy.A 6-year-old boy with active tuberculosis developed a pericarditis 9 weeks after starting adequate chemotherapy. Although no mycobacterium tuberculosis was isolated from the pericardial fluid we assume, for several reasons, that the pericarditis was caused by tuberculosis. Consequently, it is important to be aware of possible serious complications even during treatment with adequate antituberculous drugs.- - - - - - - - - - ranking = 6keywords = pericarditis (Clic here for more details about this article) |
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