Title: Constrictive Pericarditis, a Difficult Diagnosis -A Case Report with Review of Literature
Authors: Dr C R Khatua, Dr Sooraj Menon R, Dr Roniya Simethy, Dr Kumar Avijeet Dash, Dr Vishnu K
DOI: http://dx.doi.org/10.18535/jmscr/v3i11.53
The diagnosis of constrictive pericarditis requires a high degree of clinical suspicion as the signs and symptoms of this disease can be falsely attributed to other causes. Here we present a case of a 50-year old male who had presented with bilateral pleural effusion, ascites, fever and history of pulmonary tuberculosis. So he was initially thought to be a case of disseminated tuberculosis or pulmonary tuberculosis associated with IVC (inferior vena cava) obstruction. He was evaluated clinically and required investigations were done which revealed constrictive pericarditis. It sets an example of the difficulty in diagnosing this condition. KEY WORDS: Constrictive Pericarditis, JVP (jugular venous pressure), Tuberculosis, ATT (antituberculin therapy). 1. Eugene Braunwald. Pericardial Disease:Harrison`s Principles Of Internal Medicine. 19th Edition.2015 ;( 288):1571-1577. 2. Marnejon Thomas, Gemmel David: The Constricted Heart. Postgraduate Medicine 2008, 120(1):8-10. 3. Bertog S, Thambidorai S, Parakh K, Schoenhagen P, Ozduran V, Houghtaling P. Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy. J Am Coll Cardiol. 2004 Apr; 43 (8): 1445. 4. Marshall A, Ring N, Lewis T: Constrictive pericarditis: lessons from the past five years' experience in the South West Cardiothoracic Centre. Clinical Medicine,Journal of the Royal College of Physicians 2006, 6:592. 5. Himelman RB, Lee E, Schiller NB: Septal bounce, vena cava plethora, and pericardial adhesion: informative two-dimensional echocardiographic signs in the diagnosis of pericardial constriction. Am Soc Echocardiogr 1988, 1(5):333-340. 6. Dal-Bianco JacobP, Sengupta ParthoP, Mookadam Farouk, Chandrasekaran Krishnaswamy, Tajik A Jamil, Khandheria BijoyK: Role of Echocardiography in the Diagnosis of Constrictive Pericarditis. Journal of the American Society of Echocardiography 2009, 22(1):24-33 7. Talreja DR, Nishmura RA, Oh JK, Holmes DR: Constrictive pericarditis in the modern era: novelcriteria for diagnosis in the cardiac catheterization laboratory. J Am Coll Cardiol 2008, 51(3):315-9.Abstract
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