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A CASE OF TUBERCULOUS PERICARDITIS

1944; BMJ; Volume: 6; Issue: 4 Linguagem: Inglês

10.1136/hrt.6.4.185

1468-201X

A. M. Barrett, Leslie Cole,

Cardiac tumors and thrombi

Uncomplicated tuberculous pericarditis is not common, and this case is described because it gives a good picture of the march of the disease both clinically and pathologically. DESCRIPTION OF CASEA man, aged 22, who worked as a shop assistant, was admitted to Addenbrooke's Hospital on March 11, 1943, with the following history.About mid-February he first began to feel generally out of sorts and over the space of a few days developed a dry, irritating cough which kept him awake at night, a dull pain over the pracordium, nausea, weakness, and slight breathlessness on exertion.These symptoms persisted until his admission.His previous health had been good and the only illness he remembered was an attack of" pleurodynia " at the age of 18.His family history was healthy with no tuberculosis.On admission the heart was greatly enlarged both to left and right, the apex beat could not be seen or felt, the sounds were faint and tic-tac in quality, the pulse small, regular, and rapid (110), the respiratory rate 22, the temperature intermittent and rising to 100 or 101, and the blood pressure 110/80.-