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| Format: | Artículo científico |
| Langue: | en |
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Hospital Universitário da Universidade de São Paulo
2011
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| Accès en ligne: | https://www.redalyc.org/articulo.oa?id=576060809002 |
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- Tuberculous pericarditis: experience in a community hospital Fernando Peixoto Ferraz de Campos Aloísio Felipe-Silva Leonardo Gomes Fonseca Luiz Fernando Seguro Antônio Fernando Barros de Azevedo Filho Medicina Diagnosis tuberculous Tuberculosis Pericarditis Tuberculosis is a major public health problem worldwide. In Butantan district of São Paulo city, the average incidence over the last 7 years was 47.7 new cases/100,000 inhabitants. Tuberculous pericarditis is a serious form of extra-pulmonary tuberculosis in which diagnosis is often difficult. Diagnosis needs to be reached fast and accurately once tuberculous pericarditis has high morbimor-tality rates if untreated. We report the experience of a community hospital on tu-berculous pericarditis with emphasis on the clinical presentation and diagnostic procedures. From 2003 to 2010, 59 patients were diagnosed with pericarditis, 6 (10.16%) of which had tuberculous pericarditis. Demographic, clinical, imaging, laboratorial, microbiological and histological data were reviewed. There were 4 female (66.7%) and 2 male (33.3%) patients. Age ranged from 17 to 62 years (median= 25.5). One patient (17%) had HIV co-infection. Five patients (83.3%) had cardiac tamponade on Echocardiogram. Histopathology was confirmatory in 4 cases (66.7%) while cultures were positive in 2 cases (33.3%). Four patients (66.7%) had definite and 2 (33.3%) had probable diagnosis of tuberculous peri-carditis. One patient (17%) died during admission. Reuter ́s diagnostic index was ≥6 in 5 patients (83.3%). We concluded that the clinical picture, Reuter ́s diagnostic index, signs of cardiac tamponade on Echocardiogram and the peri-cardium biopsy were the most important features for the diagnosis of tubercu-lous pericarditis. 2011 artículo científico 2236-1960 https://www.redalyc.org/articulo.oa?id=576060809002 en http://www.redalyc.org/revista.oa?id=5760 Autopsy and Case Reports application/pdf Hospital Universitário da Universidade de São Paulo Autopsy and Case Reports (Brasil) Num.1 Vol.1