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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Massoure, Pierre-Laurent Boddaert, Guillaume Caumes, Jean-Luc Gaillard, Pierre-Emmanuel Lions, Christophe Grassin, Frédéric |
| Spatial Coverage | Djibouti |
| Description | Author Affiliation: Massoure PL ( Hôpital Bouffard, Djibouti, SP 85024 00812, Armées, Republic of Djibouti. plmassoure@aol.com) |
| Abstract | A 16-year-old boy was hospitalized for fever, chest pain, and cardiovascular collapse. Transthoracic echocardiography revealed a 30-mm circumferential echogenic 'porridge-like' pericardial effusion with signs of cardiac tamponade. Tuberculosis (TB) was suspected because of its prevalence in Djibouti. Emergency pericardiocentesis was attempted, but only 10 ml of pericardial fluid was obtained. Subxiphoid pericardiotomy and drainage were then performed, and pericardial fibrinous pockets were surgically collapsed. Antituberculosis chemotherapy was given, and the pericardial effusion progressively disappeared without corticosteroids. The diagnosis of TB was subsequently confirmed by cultures of the pericardial fluid. A pericardial biopsy was normal. After 3 months of follow-up, there was no sign of constrictive pericarditis. Pericardiocentesis may fail in cases of advanced-stage fibrinous TB pericardial effusion. Thus, pericardiotomy with complete open draining is the only lifesaving procedure. |
| File Format | HTM / HTML |
| ISSN | 18636705 |
| Issue Number | 6 |
| Volume Number | 58 |
| e-ISSN | 18636713 |
| Journal | General Thoracic and Cardiovascular Surgery |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2010-06-01 |
| Publisher Place | Japan |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Cardiology Cardiac Tamponade Surgery Drainage Pericardial Effusion Pericardiectomy Pericardiocentesis Pericarditis, Tuberculous Adolescent Antitubercular Agents Therapeutic Use Etiology Djibouti Humans Male Complications Treatment Outcome Ultrasonography Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
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