Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatment
The first presentation of the combination of non-compaction cardiomyopathy with a restrictive-dilated phenotype and massive chronic tuberculous pericarditis, which for a long time was under the guise of hydropericardium in congestive heart failure in a patient of 30 years, is performed. The a...
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«FIRMA «SILICEA» LLC
2019-11-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/3283 |
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| author | O. V. Blagova I. N. Alieva P. V. Senchikhin L. D. Nazarova S. V. Chernyavsky G. Yu. Sorokin E. V. Pavlenko V. P. Sedov N. V. Gagarina N. D. Sarkisova |
| author_facet | O. V. Blagova I. N. Alieva P. V. Senchikhin L. D. Nazarova S. V. Chernyavsky G. Yu. Sorokin E. V. Pavlenko V. P. Sedov N. V. Gagarina N. D. Sarkisova |
| author_sort | O. V. Blagova |
| collection | DOAJ |
| description | The first presentation of the combination of non-compaction cardiomyopathy with a restrictive-dilated phenotype and massive chronic tuberculous pericarditis, which for a long time was under the guise of hydropericardium in congestive heart failure in a patient of 30 years, is performed. The absence of congestion signs in a large circle of blood circulation became the reason for diagnosis of agnogenic pericarditis and pericardial puncture. A large volume (>1 l) and lymphocytic nature of effusion, its bilateral character, post-tuberculous changes and calcifications in the lungs, and intrathoracic lymphadenopathy testified in favor of the tuberculous etiology of the process. The negative result of all laboratory tests for tuberculosis (Diaskintest, exudate PCR test, fluorescence microscopy, inoculation on liquid media, Ziehl-Neelsen stain) and the high risk of thoracoscopic biopsy did not allow to immediately verify the diagnosis. It was made only after repeated elimination of 3,5 l of hemorrhagic exudate and the detection of mycobacterial DNA by PCR. As a result of quadruple tuberculostatic therapy, a remission of the process was achieved (there is no fluid in the pericardial cavity). |
| format | Article |
| id | doaj-art-1832d4fcef9f482a99cd90f418806509 |
| institution | Kabale University |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2019-11-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-1832d4fcef9f482a99cd90f4188065092025-08-20T03:57:26Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-11-01011556210.15829/1560-4071-2019-11-55-622645Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatmentO. V. Blagova0I. N. Alieva1P. V. Senchikhin2L. D. Nazarova3S. V. Chernyavsky4G. Yu. Sorokin5E. V. Pavlenko6V. P. Sedov7N. V. Gagarina8N. D. Sarkisova9I.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical University; Research Institute of PhysiopulmonologyResearch Institute of PhysiopulmonologyI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityThe first presentation of the combination of non-compaction cardiomyopathy with a restrictive-dilated phenotype and massive chronic tuberculous pericarditis, which for a long time was under the guise of hydropericardium in congestive heart failure in a patient of 30 years, is performed. The absence of congestion signs in a large circle of blood circulation became the reason for diagnosis of agnogenic pericarditis and pericardial puncture. A large volume (>1 l) and lymphocytic nature of effusion, its bilateral character, post-tuberculous changes and calcifications in the lungs, and intrathoracic lymphadenopathy testified in favor of the tuberculous etiology of the process. The negative result of all laboratory tests for tuberculosis (Diaskintest, exudate PCR test, fluorescence microscopy, inoculation on liquid media, Ziehl-Neelsen stain) and the high risk of thoracoscopic biopsy did not allow to immediately verify the diagnosis. It was made only after repeated elimination of 3,5 l of hemorrhagic exudate and the detection of mycobacterial DNA by PCR. As a result of quadruple tuberculostatic therapy, a remission of the process was achieved (there is no fluid in the pericardial cavity).https://russjcardiol.elpub.ru/jour/article/view/3283pericardial effusiontuberculosispericardial puncturepleurisynoncompaction myocardiumcardiomyopathy |
| spellingShingle | O. V. Blagova I. N. Alieva P. V. Senchikhin L. D. Nazarova S. V. Chernyavsky G. Yu. Sorokin E. V. Pavlenko V. P. Sedov N. V. Gagarina N. D. Sarkisova Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatment Российский кардиологический журнал pericardial effusion tuberculosis pericardial puncture pleurisy noncompaction myocardium cardiomyopathy |
| title | Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatment |
| title_full | Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatment |
| title_fullStr | Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatment |
| title_full_unstemmed | Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatment |
| title_short | Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatment |
| title_sort | massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non compaction cardiomyopathy diagnosis and treatment |
| topic | pericardial effusion tuberculosis pericardial puncture pleurisy noncompaction myocardium cardiomyopathy |
| url | https://russjcardiol.elpub.ru/jour/article/view/3283 |
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