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Pericarditis Causes

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1. Severe purulent pericarditis caused by invasive Eikenella corrodens: case report and literature review. Full Text available with Trip Pro

Severe purulent pericarditis caused by invasive Eikenella corrodens: case report and literature review. Eikenella corrodens is a slowly growing gram-negative bacillus that can cause severe invasive disease in human. Although E. corrodens infections in various sites of human body have been well described, pericarditis caused by invasive E. corrodens has rarely been reported.Here we report the case of a 63-year old male with a complaint of left shoulder pain. The patient was diagnosed as purulent (...) pericarditis by chest computed tomography scan and ultrasound-guided pericardiocentesis, and the pathogen of E. corrodens was identified in the pericardial fluid culture. The clinical condition of the patient deteriorated quickly, and he died right after the drainage surgery even though the pathogen was sensitive to antibiotics treatment.E. corrodens is a rare pericarditis associated pathogen. Purulent pericarditis caused by E. corrodens presents atypical manifestations and rapid progression of infection

2019 BMC Infectious Diseases

2. Rare purulent pericarditis caused by carbapenem-resistant Acinetobacter baumannii: A case report. Full Text available with Trip Pro

Rare purulent pericarditis caused by carbapenem-resistant Acinetobacter baumannii: A case report. Pericardial infection caused by Acinetobacter baumannii is rare, particularly that of carbapenem-resistant A baumannii (CRAB).We describe a rare case of purulent pericarditis due to CRAB in a 76-year-old man with acute myocardial infarction and acute kidney injury. The man was admitted to the intensive care unit for a catheter-related bloodstream infection. Pericardial effusion was detected via (...) the bedside X-ray and ultrasound, and pericardiocentesis was performed. Cultures of the pericardial fluid, catheter tip, and blood independently revealed the presence of CRAB. These findings confirmed a diagnosis of purulent pericarditis.Clinicians should be reminded that CRAB infection can lead to purulent pericarditis, particularly in patients with congestive heart failure or renal insufficiency.

2019 Medicine

3. Epithelioid angiosarcoma: A rare cause of pericarditis and pleural effusion Full Text available with Trip Pro

Epithelioid angiosarcoma: A rare cause of pericarditis and pleural effusion Angiosarcomas are rare cancers accounting for less than 2% of all soft tissue sarcomas. We report the case of an unusual presentation of pleural epithelioid angiosarcoma in a patient with constrictive pericarditis and recurrent pleural effusion. A 62 year old smoker presented with acute chest pain. ECG showed diffuse elevation of ST segments in the precordial leads. After extensive evaluation, he was diagnosed (...) with viral pericarditis and treated with colchicine. Two weeks later the patient presented to the emergency department with a large right pleural effusion. Evaluation of the pleural fluid obtained from a thoracentesis revealed an exudative effusion with negative microbial studies and no evidence of malignant cells. His pleural effusion re-accumulated rapidly, requiring repeated thoracenteses over several weeks. Medical thoracoscopy was performed and pleural biopsy revealed primary pleural epithelioid

2018 Respiratory Medicine Case Reports

4. A case report of purulent pericarditis caused by Candida albicans: Delayed complication forty-years after esophageal surgery. Full Text available with Trip Pro

A case report of purulent pericarditis caused by Candida albicans: Delayed complication forty-years after esophageal surgery. Candida pericarditis is a rare condition with high mortality. Risk factors include thoracic surgery and immunosuppression. We report a case of candida pericarditis which developed forty-years after esophageal reconstruction surgery.A 42-year-old female presented with nausea, abdominal discomfort, and chest pain, and was found to have a cardiac tamponade secondary (...) to candida pericarditis. Her notable risk factor was colonic interposition done during her infancy for esophageal atresia.The patient underwent emergent pericardial window where 500cc of purulent fluid was drained. The pericardial fluid culture grew Candida albicans.Esophagram did not show any visible leak and the patient improved with surgical drainage and antifungal treatment with Caspofungin. Caspofungin was continued intravenously for a total of four weeks and was switched to fluconazole.An

2018 Medicine

5. Interventions for treating tuberculous pericarditis. Full Text available with Trip Pro

Interventions for treating tuberculous pericarditis. Tuberculous pericarditis can impair the heart's function and cause death; long term, it can cause the membrane to fibrose and constrict causing heart failure. In addition to antituberculous chemotherapy, treatments include corticosteroids, drainage, and surgery.To assess the effects of treatments for tuberculous pericarditis.We searched the Cochrane Infectious Diseases Group Specialized Register (27 March 2017); the Cochrane Central Register (...) at high risk of bias.In people who are not infected with HIV, corticosteroids may reduce deaths from all causes (risk ratio (RR) 0.80, 95% confidence interval (CI) 0.59 to 1.09; 660 participants, 4 trials, low certainty evidence) and the need for repeat pericardiocentesis (RR 0.85, 95% CI 0.70 to 1.04; 492 participants, 2 trials, low certainty evidence). Corticosteroids probably reduce deaths from pericarditis (RR 0.39, 95% CI 0.19 to 0.80; 660 participants, 4 trials, moderate certainty evidence

2017 Cochrane

6. Safety and Efficacy of Colchicine as Stand-alone Therapy for the Prevention of Recurrent Pericarditis

Weaknesses Comment(s) Over the last years, objective clinical evidence has matured and clearly indicates the important role and beneficial clinical effect of colchicine therapy in preventing recurrent pericarditis caused by various aetiologies. Colchicine-treated patients consistently display significantly fewer recurrences and longer symptom-free periods, and even initial primary attacks are weaker and shorter in nature. Recently there have been a multitude of studies investigating colchicine (...) Safety and Efficacy of Colchicine as Stand-alone Therapy for the Prevention of Recurrent Pericarditis BestBets: Safety and Efficacy of Colchicine as Stand-alone Therapy for the Prevention of Recurrent Pericarditis Safety and Efficacy of Colchicine as Stand-alone Therapy for the Prevention of Recurrent Pericarditis Report By: Andrew Manspeaker MD, Rebecca Andrews-Dickert MD - Emergency Medicine Resident and Faculty Institution: Grand Rapids Medical Education Partners/Michigan State University

2017 BestBETS

7. Purulent constrictive pericarditis caused by Salmonella enteritidis in a patient with adult-onset Still's disease: A case report. Full Text available with Trip Pro

Purulent constrictive pericarditis caused by Salmonella enteritidis in a patient with adult-onset Still's disease: A case report. Purulent pericarditis is a rare and usually fatal disease. Immunodeficiency state and preexisting pericardial effusion can predispose patients to infections. However, we are not aware of similar cases in patients with adult-onset Still's disease (AOSD). In addition, it is seldom caused by Salmonella bacteria.We report a 30-year-old woman with dyspnea on exertion (...) and epigastric fullness. She was newly diagnosed with AOSD 4 months previously and medicated with prednisolone.Transthoracic echocardiography (TTE) and computed tomography revealed a thickened pericardium with loculations in the pericardial space, consistent with purulent constrictive pericarditis. Subsequent cultures of blood and pericardial fluid yielded S enteritidis.She underwent subtotal pericardiectomy through a limited median sternotomy, and antibiotic therapy (ceftriaxone) for 1 month.The New York

2017 Medicine

8. Chylous Ascites and Chylothorax Caused by Constrictive Pericarditis Full Text available with Trip Pro

Chylous Ascites and Chylothorax Caused by Constrictive Pericarditis 29052575 2018 10 09 2018 11 13 2542-5641 130 20 2017 Oct 20 Chinese medical journal Chin. Med. J. Chylous Ascites and Chylothorax Caused by Constrictive Pericarditis. 2508-2509 10.4103/0366-6999.216402 Yu Guo-Can GC Department of Thoracic Surgery, Zhejiang Traditional Chinese Medicine and Western Medicine Integrated Hospital, Hangzhou, Zhejiang 310003, China. Xu Xu-Dong XD Department of Thoracic Surgery, Zhejiang Traditional (...) and Western Medicine Integrated Hospital, Hangzhou, Zhejiang 310003, China. eng Journal Article China Chin Med J (Engl) 7513795 0366-6999 IM Adult Chylothorax etiology surgery Chylous Ascites etiology surgery Humans Male Pericardiectomy Pericarditis, Constrictive complications surgery Young Adult 2017 10 21 6 0 2017 10 21 6 0 2018 10 10 6 0 ppublish 29052575 ChinMedJ_2017_130_20_2508_216402 10.4103/0366-6999.216402 PMC5684640 Am J Med Sci. 2010 Apr;339(4):314-8 20124878 J Med Case Rep. 2012 Jun 27;6:163

2017 Chinese medical journal

9. H. capsulatum: A Not-So-Benign Cause of Pericarditis Full Text available with Trip Pro

H. capsulatum: A Not-So-Benign Cause of Pericarditis The common causes of pericarditis and its course are benign in the majority of cases. Thus, further testing is usually not pursued and treatment for a presumptive viral etiology with nonsteroidal agents and steroids has been an accepted strategy. We present a patient with pericarditis who was unresponsive to first-line therapy and was subsequently found to have necrotizing granulomas of the pericardium with extensive adhesions and fungal (...) elements seen on tissue biopsy. Serologic testing confirms active H. capsulatum infection, and he responded well to Itraconazole treatment. In patients with pericarditis who fail standard therapy with NSAIDs and steroids, it is suggested that they undergo thorough evaluation and that histoplasmosis be considered as an etiology, especially in endemic regions.

2017 Case reports in cardiology

10. Granulomatosis with polyangiitis can cause periaortitis and pericarditis Full Text available with Trip Pro

Granulomatosis with polyangiitis can cause periaortitis and pericarditis Granulomatosis with polyangiitis (GPA) is characterized by necrotizing granulomatous inflammation usually involving the upper and lower respiratory tracts and necrotizing vasculitis predominantly affecting small-sized vessels. Although categorized as a small vessel vasculitis, GPA can cause periaortitis and pericarditis. Physicians should recognize all categories of vasculitis can affect any size arteries.

2017 Clinical Case Reports

11. Constrictive pericarditis caused by Cutibacterium (Propionibacterium) acnes: A case report and review of literature Full Text available with Trip Pro

Constrictive pericarditis caused by Cutibacterium (Propionibacterium) acnes: A case report and review of literature Constrictive and effusive-constrictive pericarditis are rare cardiac disorders. Only rarely are the conditions caused by purulent infection, and even more infrequently by anaerobe bacteria. We describe a case of constrictive - and effusive-constrictive pericarditis due to Cutibacterium (formerly Propionibacterium) acnes in a 75-year old, immunocompetent and previously healthy (...) of adherence and biofilm formation of C. acnes, diagnosing C. acnes constrictive pericarditis may be difficult. In the context of compatible symptoms, the incubation time of clinical samples should be prolonged or supplemented by polymerase chain reaction techniques. Parenteral beta-lactam antibacterials are considered the drugs of choice. Severe constrictive and effusive-constrictive pericarditis caused by C. acnes is rare, but can be seen even in otherwise healthy patients. Prolonged incubation time

2017 IDCases

12. Traumatic pericarditis caused by a bamboo twig in captive waterbuck (Kobus ellipsiprymnus) Full Text available with Trip Pro

Traumatic pericarditis caused by a bamboo twig in captive waterbuck (Kobus ellipsiprymnus) A 19-year-old captive male waterbuck (Kobus ellipsiprymnus) exhibited traumatic pericarditis at necropsy. The animal weighed 182 kg at necropsy and revealed no remarkable findings in external observation. Severe pericardial adhesions with fibrosis, hepato-diaphragmatic adhesions, straw-colored ascites and hepatosplenomegaly were observed upon examining the internal organs. Perforations made by a 12-cm (...) -long sharp-ended bamboo twig were detected in the reticulum, diaphragm, pericardium, lung and liver. Trueperella pyogenes was identified in pericardial fluid. To our knowledge, this is the first documented case of traumatic reticulopericarditis caused by a sharp-ended bamboo twig in a captive waterbuck.

2017 The Journal of Veterinary Medical Science

13. Medication Causes of Pericarditis

Medication Causes of Pericarditis Medication Causes of Pericarditis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Medication Causes (...) of Pericarditis Medication Causes of Pericarditis Aka: Medication Causes of Pericarditis , Pericarditis due to Medications , Drug-Induced Pericarditis From Related Chapters II. Causes Doxorubicin ( ) (INH) Methylsergide ( ) ( ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Medication Causes of Pericarditis." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database

2018 FP Notebook

14. Pericarditis Causes

Pericarditis Causes Pericarditis Causes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pericarditis Causes Pericarditis Causes Aka (...) : Pericarditis Causes From Related Chapters II. Causes: Common Idiopathic (Most common cause) Viral Infection (esp. Coxsackievirus) ( ) III. Causes: Infection Viral (common) Coxsackievirus (Most common viral cause) (CMV) Echovirus ( ) Human 6 or (occurs in 20% of Cases) Mumps Varicella l (purulent , <5% of cases) (high mortality) Empyema with direct spread or hematogenous spread in children More common prior to current s in U.S. e More common prior to current s in U.S. (mortality approaches 85% for untreated

2018 FP Notebook

15. Colchicine for pericarditis. Full Text available with Trip Pro

Colchicine for pericarditis. Pericarditis is the inflammation of the pericardium, the membranous sac surrounding the heart. Recurrent pericarditis is the most common complication of acute pericarditis, causing severe and disabling chest pains. Recurrent pericarditis affects one in three patients with acute pericarditis within the first 18 months. Colchicine has been suggested to be beneficial in preventing recurrent pericarditis.To review all randomised controlled trials (RCTs) that assess (...) the effects of colchicine alone or combined, compared to any other intervention to prevent further recurrences of pericarditis, in people with acute or recurrent pericarditis.We searched the following bibliographic databases on 4 August 2014: Cochrane Central Register of Controlled Trials (CENTRAL, Issue 7 of 12, 2014 on The Cochrane Library), MEDLINE (OVID, 1946 to July week 4, 2014), EMBASE (OVID, 1947 to 2014 week 31), and the Conference Proceedings Citation Index - Science on Web of Science (Thomson

2014 Cochrane

16. Influenza B virus infection complicated by life-threatening pericarditis: a unique case-report and literature review. Full Text available with Trip Pro

Influenza B virus infection complicated by life-threatening pericarditis: a unique case-report and literature review. Acute pericarditis may occur frequently after viral infections. To our knowledge, influenza B virus infection complicated by pericarditis without myocardial involvement has never been reported. We report the first case of life-threatening pericarditis caused by influenza B virus infection.A 48-years-old woman with trisomy 21 and ostium primum atrial septal defect was transferred (...) of pericardial effusion recurrence during follow-up.Especially in autumn and winter periods, clinicians should include Influenza B virus infection on differential diagnosis of pericarditis with large pericardial effusion.

2019 BMC Infectious Diseases

17. Mycoplasma Pneumoniae Pericarditis. (Abstract)

Mycoplasma Pneumoniae Pericarditis. Mycoplasma pneumoniae is an atypical bacterium that is frequently implicated in respiratory infections, but uncommonly identified as a cause of pericarditis. We report 2 cases of pericarditis attributed to M. pneumoniae that were characterized by prolonged respiratory prodromes, pericardial, and pleural effusions, elevated inflammatory markers, and relapsing clinical courses. In conclusion, our experience suggests that M. pneumoniae should be considered (...) as a potential cause in cases of pericarditis associated with upper respiratory symptoms, pneumonia, pleural effusions, arthralgia, and/or a recurrent/refractory clinical course. The availability of effective antibiotic treatment makes this an important diagnosis to make.Copyright © 2019 Elsevier Inc. All rights reserved.

2019 American Journal of Cardiology

18. Watch what happens when "pericarditis" and morphine cloud your judgment

Watch what happens when "pericarditis" and morphine cloud your judgment Dr. Smith's ECG Blog: Watch what happens when "pericarditis" and morphine cloud your judgment Tuesday, July 3, 2018 Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain “similar to his prior MI, but worse.” The pain initially started the day prior to presentation. The pain roused (...) of a positive deflection to be reliably called a J-wave. Therefore there is terminal QRS distortion. - The ST elevation from today is ~0.2 mV compared to 0.05-0.1 mV from prior The case continues: He continued to complain of intermittent chest discomfort similar to the pain that caused his presentation. His initial troponin T, measured 1 hour after the start of this episode of chest pain is less than 0.01 ng/mL (undetectable). While in the emergency department, he undergoes an additional ECG: 00:49

2018 Dr Smith's ECG Blog

19. A case of medical management of tricuspid regurgitation related to atrial fibrillation with constrictive pericarditis-like hemodynamics Full Text available with Trip Pro

A case of medical management of tricuspid regurgitation related to atrial fibrillation with constrictive pericarditis-like hemodynamics Severe tricuspid regurgitation (TR) is reported to represent a hemodynamic pattern similar to that of constrictive pericarditis (CP), which should be clearly differentiated for appropriate management. We report the case of a patient with severe TR due to atrial fibrillation (AF) in whom hemodynamic monitoring played a role in the selection of the management (...) therapies including diuretics and carperitide. After his discharge and over a 1-year follow-up, he has never experienced worsening heart failure and remained NYHA class II with moderate TR. Medical management targeted at volume reduction and vasodilation can be a therapeutic option for CP-like hemodynamics in isolated severe TR related to AF. Repeated hemodynamic assessment is an appropriate tool to help our understanding of the CP-like physiology caused by severe TR based on chronic AF.

2018 Journal of cardiology cases

20. Pericarditis-complicated takotsubo cardiomyopathy in a patient with rheumatoid arthritis Full Text available with Trip Pro

, and moderate pericardial effusion. The patient was diagnosed with takotsubo cardiomyopathy (TTC), complicated by pericarditis. In the literature, autoimmune disorders have been associated with TTC. We suggest that this patient's pericardial effusion was caused by TTC, and that her coexisting RA might have played a role in the etiology of the significant pericardial fluid accumulation. (...) Pericarditis-complicated takotsubo cardiomyopathy in a patient with rheumatoid arthritis A 64-year-old woman with medication-controlled rheumatoid arthritis (RA) was admitted to our hospital complaining of chest pains. An electrocardiogram showed elevated ST-segments in the inferior leads, and inverted T-waves in the left precordial leads. Left ventriculography demonstrated apical ballooning, and cardiac magnetic resonance imaging demonstrated apical ballooning of the left ventricle

2018 Cardiovascular diagnosis and therapy

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