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Clinical Case: Tuberculous Myopericarditis in the Cardiology Practice

https://doi.org/10.20996/1819-6446-2018-14-5-691-698

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Abstract

Pericarditis is not enough researched and described in literature despite the emergence of a large quantity of up-to-date laboratory and instrumental methods of verification. The main problem is that  pericarditis might be a sign of many infectious and non-infectious diseases. It is quite difficult to define the etiopathogenetic reason of process. The article presents a clinical observation of a 53 years old mail patient with paroxysms of atrial flutter, non-symptomatic febrile fever, arthralgia and  signs of exudative pericarditis, which were  manifested after  the acute  viral infection. The symptoms have been lasting for 8 months before the patient’s hospitalization. In lab tests anemia, leucopenia, increase level of platelets and increase antinuclear antibody level were found. Several conceptions were considered: cancer with paraneoplastic syndrome, systemic disease, infectious process, myeloma, which were subsequently excluded. Due to the fact that pericardial effusion may often be associated with tuberculosis Diaskin test and T-SPOT were performed and they appeared to be positive. After several months of antituberculous treatment temperature normalized, atrial flutter episodes and arthralgia diminished. So empirically and  laboratory tuberculous pericarditis with atypical manifestation was  confirmed. The particularity of this observation is a nontypical clinical picture and the absence of a primary focus of infection. That is why the clinicians could not define the diagnosis rapidly.

About the Authors

A. I. Skripka
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Alena I. Skripka – MD, Post-Graduate Student, Chair of Faculty Therapy N1, Medical Faculty.

Bolshaya Pirogovskaya ul. 2-4, Moscow, 119435.

 



A. V. Buchneva
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Anna V. Buchneva – 6-th Year Student.

Bolshaya Pirogovskaya ul. 2-4, Moscow, 119435.

 



V. V. Vankhin
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Vera V. Vankhin  – 5-th Year Student.

Bolshaya Pirogovskaya ul. 2-4, Moscow, 119435.

 



N. V. Lisyanskaya
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Natalia V. Lisyanskaya – 5-th Year Student, Sechenov University International School, Science and Technology Park for Biomedicine.

Bolshaya Pirogovskaya ul. 2-4, Moscow, 119435.

 



V. V. Babyre
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Victoria V. Babyre – MD, PhD, Assistant, Chair of Faculty Therapy N1, Medical Faculty.

Bolshaya Pirogovskaya ul. 2-4, Moscow, 119435.

 



P. V. Senchikhin
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Pavel V. Senchikhin – MD, PhD, Associate Professor, Chair of Phthisiopulmonology and Thoracic Surgery.

Bolshaya Pirogovskaya ul. 2-4, Moscow, 119435.

 



A. A. Sokolova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Anastasiya A. Sokolova – MD, PhD, Assistant, Chair of Faculty Therapy N1, Medical Faculty.

Bolshaya Pirogovskaya ul. 2-4, Moscow, 119435.

 



D. A. Napalkov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Dmitry A. Napalkov – MD, PhD, Professor, Chair of Faculty Therapy N1, Medical Faculty.

Bolshaya Pirogovskaya ul. 2-4, Moscow, 119435.

 



V. V. Fomin
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Viktor V. Fomin – MD, PhD, Professor, Corresponding Member of the Russian Academy of Sciences, Head of Chair of Faculty Therapy N1, Medical Faculty.

Bolshaya Pirogovskaya ul. 2-4, Moscow, 119435.

 



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For citation:


Skripka A.I., Buchneva A.V., Vankhin V.V., Lisyanskaya N.V., Babyre V.V., Senchikhin P.V., Sokolova A.A., Napalkov D.A., Fomin V.V. Clinical Case: Tuberculous Myopericarditis in the Cardiology Practice. Rational Pharmacotherapy in Cardiology. 2018;14(5):691-698. (In Russ.) https://doi.org/10.20996/1819-6446-2018-14-5-691-698

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ISSN 1819-6446 (Print)
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