TUBERCULOUS PERICARDIAL EFFUSION
1943; BMJ; Volume: 5; Issue: 1 Linguagem: Inglês
10.1136/hrt.5.1.19
ISSN1468-201X
Autores Tópico(s)Cardiac Structural Anomalies and Repair
ResumoTuberculous pericardial effusion is not common; and so the case described is of interest on account of the patient's age, the frequency with which the pericardial effusion required tapping, the relative absence of symptoms during most of the illness, and the stages through which the case passed from gross effusion to relative dryness at autopsy with only about 2 oz. of fluid in a greatly thickened pericardium. DESCRIPTION OF CASEA sailor, aged 23, was admitted into a hospital on August 16, 1940, for epigastric pain and frequent vomiting, which had begun three days previously.There had been a similar attack three months previously.There was continued pyrexia up to 102.The diagnosis was apparently difficult until he complained of some sub-sternal tightness a few days later, when attention was directed to his heart.This was found to be enlarged, 1 inch outside the nipple line, but it was only after an X-ray that the diagnosis of pericardial effusion was established.Before this, on account of dullness at the left base of the lung with diminished breath sounds, a pleural effusion was suspected, but the X-ray did not confirm this.The blood pressure was typically low, 100/70.Repeated tappings were performed as under: August 23, 300 c.c. ; August 27, 400 c.c.; August 30, 500 c.c.; the fluid each time being sterile and
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