Rheumatic pericarditis: a rare cause of constrictive pericarditis.
| Autor: | O'Connor CT; Cardiology Department, Limerick Regional Hospital, Dooradoyle, Limerick, Ireland cormac.oconchubhair@gmail.com., Zaman J; Cardiology Department, Limerick Regional Hospital, Dooradoyle, Limerick, Ireland., McCarthy J; Mater Misericordiae University Hospital, Dublin, Ireland., Kiernan T; Cardiology Department, Limerick Regional Hospital, Dooradoyle, Limerick, Ireland. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2021 Jan 25; Vol. 14 (1). Date of Electronic Publication: 2021 Jan 25. |
| DOI: | 10.1136/bcr-2020-236639 |
| Abstrakt: | Constrictive pericarditis is a relatively uncommon form of cardiac failure and presents due to scarring and consequent loss of the normal elasticity of the pericardial sac. This results in abnormal/limited ventricular filling and symptoms of heart failure. The aetiology is varied, from infective causes to idiopathic causes, or can manifest after cardiothoracic surgery. This case involves a 46-year-old man presenting with acute group A beta haemolytic streptococcus infection, and over the subsequent 6 months develops constrictive pericarditis due to what is believed to be a rheumatic aetiology. The patient subsequently underwent pericardiectomy and had restoration of normal filling dynamics confirmed on follow-up echocardiography. This case provides a subject matter for the review of the features of constrictive pericarditis and its investigation and management. This case is that it highlights the fact that pericarditis is not a benign condition. Emerging evidence suggests that pericarditis is due to a failure in inflammatory regulatory mechanisms, and patients suffering this condition have a preponderance to 'autoinflammation'. Pericarditis should be recognised early and treated fully with anti-inflammatory agents. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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