keyword
https://read.qxmd.com/read/38510916/genexpert-mtb-rif-ultra-vs-unstimulated-interferon-%C3%AE-irisa-tb-for-the-diagnosis-of-tuberculous-pericarditis-in-a-tuberculosis-endemic-setting
#1
JOURNAL ARTICLE
Philippa Randall, Aliasgar Esmail, Lindsay Wilson, Edson Makambwa, Anil Pooran, Michele Tomasicchio, Keertan Dheda, Mpiko Ntsekhe
BACKGROUND: Tuberculous pericarditis (TBP) is a paucibacillary disease, where host biomarkers such as unstimulated interferon γ (IRISA-TB) have high diagnostic accuracy. However, DNA-based diagnostic tests (GeneXpert Ultra), more sensitive than an earlier versions, have recently become available. Given that the diagnosis of TBP is challenging, we performed a comparative diagnostic accuracy study comparing both assays. METHODS: We recruited 99 consecutive patients with suspected TBP in Cape Town, South Africa...
March 2024: Open Forum Infectious Diseases
https://read.qxmd.com/read/38392848/tuberculous-pericarditis-in-childhood-a-case-report-and-a-systematic-literature-review
#2
REVIEW
Laura Venuti, Anna Condemi, Chiara Albano, Giovanni Boncori, Valeria Garbo, Sara Bagarello, Antonio Cascio, Claudia Colomba
Tuberculous pericarditis (TBP) is an important cause of pericarditis worldwide while being infrequent in childhood, especially in low-TB-incidence countries. We report a case of TBP and provide a systematic review of the literature, conducted by searching PubMed, Scopus, and Cochrane to find cases of TBP in pediatric age published in the English language between the year 1990 and the time of the search. Of the 587 search results obtained, after screening and a backward citation search, 45 studies were selected to be included in this review, accounting for a total of 125 patients...
January 26, 2024: Pathogens
https://read.qxmd.com/read/38362399/tuberculous-pericarditis-mimicking-a-malignant-pericardial-tumor-a-case-report
#3
Ji Young Park, Ji-Yeon Han, Jinyoung Park, Gi Won Shin, Su Young Yun, Mi Seon Kang, Da Som Kim
Tuberculous pericarditis is an extrapulmonary manifestation of tuberculosis that is most commonly associated with pericardial thickening, effusion, and calcification. We present a case of tuberculous pericarditis mimicking a malignant pericardial tumor in a 77-year-old male. CT revealed an irregular and nodular pericardial thickening. MRI revealed high signal intensity on T1-weighted fat-suppressed images and peripheral rim enhancement after gadolinium administration. MRI can be helpful in determining the differential diagnoses in cases of tuberculous pericarditis with nonspecific imaging findings...
January 2024: J Korean Soc Radiol
https://read.qxmd.com/read/38361809/assessing-the-hazard-of-death-cardiac-tamponade-and-pericardial-constriction-among-hiv-and-tuberculosis-pericarditis-patients-using-the-extended-cox-hazard-model-intervention-study
#4
JOURNAL ARTICLE
Abdul-Karim Iddrisu, Dominic Otoo, Afa Kwasi, Freedom Gumedze
BACKGROUND AND AIMS: Tuberculous (TB) pericarditis (TBP), a TB of the heart, is linked to significant morbidity and mortality rates. Administering glucocorticoid therapy to individuals with TBP might enhance overall results and lower the likelihood of fatality. However, the actual clinical effectiveness of supplementary glucocorticoids remains uncertain. This study specifically evaluated the effects of prednisolone, prednisolone-antiretroviral therapy (ART) interaction, and other potential risk factors in reducing the hazard of the composite outcome, death, cardiac tamponade, and constriction, among TBP and human immunodeficiency virus (HIV) patients...
February 2024: Health Science Reports
https://read.qxmd.com/read/38347560/the-clinical-value-of-p-wave-terminal-force-in-lead-v1-in-evaluating-pericardial-thickness-in-tuberculous-constrictive-pericarditis
#5
JOURNAL ARTICLE
Yanhong Ren
AIM: To investigate the relationship between p wave terminal force (Ptfv1) and pericardial thickness in patients with tuberculous constrictive pericarditis. METHODS: From January 2018 to October 2022, 95 patients with tuberculous constrictive pericarditis who needed pericarditis dissection in a hospital were collected, and 3 patients who did not meet the criteria were excluded, a total of 92 cases. The absolute value of Ptfv1 in conventional electrocardiogram was tested before surgery, and pericardial thickness was measured by echocardiography and chest CT...
February 12, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38230271/clinical-significance-of-preoperative-pyrazinamide-containing-therapy-in-tuberculous-constrictive-pericarditis
#6
JOURNAL ARTICLE
Likui Fang, Wenfeng Yu, Guocan Yu, Gang Chen, Bo Ye
BACKGROUND: Tuberculous constrictive pericarditis (TCP) is recommended to be treated with anti-tuberculosis (TB) therapy before pericardiectomy. Whether different preoperative anti-TB regimens may lead to different outcomes is unclear. METHODS: We retrospectively collected patients diagnosed as TCP and received pericardiectomy from April 2016 to June 2023. The study patients were assigned into the active TCP (A-TCP) group and the inactive TCP (IA-TCP) group according to the results of Mycobacterium tuberculosis (MTB) culture and MTB RNA assay...
2024: Infection and Drug Resistance
https://read.qxmd.com/read/38185639/pericardial-effusion-in-children-at-tertiary-national-referral-hospital-addis-ababa-ethiopia-a-7-year-institution-based-review
#7
JOURNAL ARTICLE
Selamawit Amare, Henok Tadele
BACKGROUND: Pericardial effusion (PE) is a rare yet an important cause of child mortality due to collection of excess fluid in pericardial space. The study aimed to describe the PE profile in the national cardiac referral hospital, Addis Ababa, Ethiopia. METHODS: The study employed cross-sectional study design for a 7-year review of childhood PE in Tikur Anbessa Specialized Hospital. Descriptive and analytic statistics were applied. RESULTS: There were 17,386 pediatric emergency/ER admissions during the study period, and PE contributed to 0...
January 7, 2024: BMC Emergency Medicine
https://read.qxmd.com/read/37956454/treatment-response-assessment-in-tuberculous-pericarditis-multimodal-imaging-with-echocardiography-and-18f-fdg-pet-ct
#8
JOURNAL ARTICLE
Yeo Reum Kim, Joo Hyun O, Mi-Hyang Jung, Woo-Baek Chung, Hae Ok Jung
No abstract text is available yet for this article.
November 13, 2023: European Heart Journal Cardiovascular Imaging
https://read.qxmd.com/read/37942039/co-existing-pericardial-and-pleural-malignant-mesothelioma-responding-well-to-nedaplatin-and-pemetrexed-a-case-report
#9
Mindan Wu, Zhixuan Li, Junfu Cai, Xianyang Zhong, Wenchuan Zheng, Shuhan Wu, Maohuang Lin, Qichuan Zhang
BACKGROUND: Malignant mesothelioma (MM) is a rare cancer with poor prognosis. It is less common that two serosal cavities are involved when the patient seeks medical attention firstly. The current first-line chemotherapy for advanced MM is a combination with cisplatin and pemetrexed. However, nedaplatin, a second-generation platinum-based antitumor agent, has the similar therapeutic effects as cisplatin but lower toxicity and higher water solubility. To our knowledge, this is the first case of co-existing pericardial and pleural MM treated with nedaplatin and pemetrexed and responding well...
2023: AME Case Reports
https://read.qxmd.com/read/37764983/the-efficiency-of-tb-lam-antigen-test-to-xpert-mtb-rif-ultra-test-for-the-diagnosis-of-tuberculous-pericarditis-using-pericardial-fluid-samples
#10
JOURNAL ARTICLE
Samuel Alomatu, Sandeep Vasaikar, Kandathil Thomas, Thozama Dubula, Khulile Moeketsi
Medical considerations for early diagnosis of tuberculous pericarditis (TBP) include Xpert MTB/RIF Ultra and TB lipoarabinomannan (LAM) antigen (Ag) tests, with immunological status influencing the performance of the latter. An evaluation of the efficiency of Xpert MTB/RIF Ultra and TB LAM Ag in detecting TBP was conducted using pericardial fluid samples from 46 patients with suspected TBP. Fifteen patients (34.1%) were diagnosed with TBP according to culture results. TB LAM Ag's sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), and negative likelihood ratio (NLR) were 33...
September 19, 2023: Pathogens
https://read.qxmd.com/read/37692365/tuberculous-pericarditis-presenting-as-cardiac-tamponade-role-of-echocardiography
#11
Nazima Khatun, Yonatan Akivis, Beisi Ji, Harshith P Chandrakumar, Inna Bukharovich, Sabu John
Tuberculous pericarditis, a rare but potentially lethal manifestation of tuberculosis, poses diagnostic and therapeutic challenges in clinical practice. Its nonspecific clinical presentation often mimics other conditions, leading to delayed or missed diagnoses. We report a 25-year-old male with no past medical history, who presented with nonspecific symptoms such as fatigue, weight loss, body aches, and dyspnea. An electrocardiogram showed low voltage QRS complex with electrical alternans, and transthoracic echocardiography (TTE) showed large pericardial effusion with tamponade physiology with right ventricular diastolic collapse, the collapse of the right atrium and the inferior vena cava was dilated with a respiratory variation of less than 50%...
August 2023: Journal of Medical Cases
https://read.qxmd.com/read/37637260/a-case-of-pericarditis-and-pericardial-masses-associated-with-mycobacterium-paragordonae
#12
Rehman Jinah, Tammy Ryan, Matthew Sibbald
Tuberculosis is a common cause of pericarditis worldwide and has been associated with pericardial masses. Non-tuberculous mycobacteria are uncommonly associated with cardiac disease, having primarily been described in cases of endocarditis. Here we describe a case of an immunocompetent patient with Mycobacterium paragordonae infection causing pericarditis with a large effusion containing pericardial masses. The patient presented with chest pain, hypoxia and biochemical evidence of inflammation (CRP 216.1 mg/L)...
2023: Clinical Medicine Insights. Cardiology
https://read.qxmd.com/read/37426717/multi-modality-imaging-approach-to-a-rare-form-of-biventricular-ring-shaped-constrictive-pericarditis
#13
Davide Ermacora, Tommaso Gorgatti, Simona Casablanca, Roberto Cemin
A 48-year-old man with AIDS/HIV and a previous history of tuberculous pericarditis 25 years earlier was admitted to our department of infectious diseases because of P. carinii pneumonia. A CT (computed tomography) scan described diffuse pericardial thickening with extensive pericardial calcifications on both ventricles. A transthoracic echocardiogram showed all the typical hemodynamic features of pericardial constriction. A review of the CT with 3D reconstruction revealed the presence of ring-shaped pericardial calcification at the basal segments of right and left ventricles extending over the inferior atrioventricular groove, the inferior interventricular groove and the cranial wall of the right atrium...
2023: Journal of Cardiovascular Echography
https://read.qxmd.com/read/37423539/diagnosis-of-tuberculous-pericarditis-with-transgastric-eus-fine-needle-aspiration
#14
JOURNAL ARTICLE
Fatih Albayrak, Hakan Dursun, Fatih Alper, Ayse Albayrak, Ahmet Yalcin
No abstract text is available yet for this article.
July 7, 2023: Gastrointestinal Endoscopy
https://read.qxmd.com/read/37305052/a-description-of-the-elevation-of-pericardial-cortisol-cortisone-ratio-in-patients-with-tuberculous-pericarditis
#15
JOURNAL ARTICLE
Justin Tapiwa Shenje, Peter Raubenheimer, Lubbe Wiesner, Ian Ross
Pulmonary tuberculosis is an inflammatory disease associated with an elevated cortisol/cortisone ratio at the site of infection and an array of cytokine changes. Tuberculous pericarditis is a less common but more lethal form of tuberculosis and has a similar inflammatory process in the pericardium. As the pericardium is largely inaccessible, the effect of tuberculous pericarditis on pericardial glucocorticoids is largely unknown. We wished to describe pericardial cortisolcortisone ratio in relation to plasma and saliva cortisol/cortisone ratios and the associated changes in cytokine concentrations...
2023: Frontiers in Endocrinology
https://read.qxmd.com/read/37217161/the-evolving-etiologic-and-epidemiologic-portrait-of-pericardial-disease
#16
REVIEW
Prajwal Reddy, Garvan C Kane, Jae K Oh, Sushil Allen Luis
Pericardial disease includes a variety of pericardial diseases, including inflammatory pericarditis, pericardial effusions, constrictive pericarditis, pericardial cysts, and primary and secondary pericardial neoplasms. The true incidence of this varied condition is not well established, and the causes vary greatly across the world. This review aims to describe the changing pattern of epidemiology of pericardial disease and to provide an overview of causative etiologies. Idiopathic pericarditis (assumed most often to be viral) remains the most common etiology for pericardial disease globally, with tuberculous pericarditis being most common in developing countries...
May 20, 2023: Canadian Journal of Cardiology
https://read.qxmd.com/read/37089308/a-life-threatening-pericardial-tamponade-revealing-disseminated-tuberculosis-a-challenging-medical-care
#17
Chirine Moussa, Houda Rouis, Soumaya Debbiche, Amel Khattab, Ibtihel Khouaja, Ines Zendah, Sonia Maȃlej
Tuberculous pericarditis (TBP) is one of the most important causes of pericarditis in developing countries in which tuberculosis remains a public health problem. We report the case of a 20-year-old immunocompetent woman who presented with hypotension and tachycardia echocardiography showed a massive pericardial effusion and signs of tamponade. The patient underwent an urgent pericardiocentesis; 700 ccs of serosanguinous pericardial fluid was drained. She had a surgical biopsy of the pleuropericardial window...
April 2023: Heliyon
https://read.qxmd.com/read/37087940/partial-pericardiectomy-for-refractory-acute-tuberculous-pericarditis-a-case-report
#18
André Loureiro Fernandes, Fabrício José Dinato, Elinthon Tavares Veronese, Carlos Manuel de Almeida Brandão, Vera Demarchi Aiello, Fabio Biscegli Jatene
INTRODUCTION: Tuberculosis is an infectious disease that usually manifests in the lungs but can also affect other organs, including the cardiovascular system. In this article, we present a rare case of purulent pericarditis caused by Mycobacterium tuberculosis. PRESENTATION OF CASE: A 67-year-old man was admitted to the emergency department with a large pericardial effusion with evidence of cardiac tamponade caused by acute pericarditis. The patient underwent surgical pericardial drainage, and a total volume of 500 mL of purulent fluid was collected with a positive culture for Mycobacterium tuberculosis...
April 19, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37085413/a-case-of-extensive-diffuse-calcified-tuberculous-constrictive-pericarditis-late-presentation-leading-to-a-devastating-outcome
#19
JOURNAL ARTICLE
Charles Krisnanda, Celly Anantaria Atmadikoesoemah, Virandra Biramanandi Kusmanto, Rarsari Soerarso, Elen, Sugisman, Manoefris Kasim
No abstract text is available yet for this article.
April 19, 2023: Heart, Lung & Circulation
https://read.qxmd.com/read/37020795/clinical-application-of-the-mycobacterium-tuberculosis-rna-assay-of-pericardial-tissue-specimens-in-the-diagnosis-of-tuberculous-pericarditis
#20
JOURNAL ARTICLE
Jinjuan Zhang, Caifang Bu, Liwei Yao, Kan Xu
PURPOSE: To assess the accuracy of the Mycobacterium tuberculosis (MTB)-RNA assay using pericardial tissue specimens for tuberculous pericarditis (TBP) diagnosis. METHODS: MTB culture and MTB-RNA assay were performed for patients with suspected TBP. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC) of these two assays were analyzed. RESULTS: This study included 79 patients...
2023: Infection and Drug Resistance
keyword
keyword
95692
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.