| Autor: |
Lazaros A, Nikolaidis, Maher, Azzouz, Lois, Friedlander, David H, Van Thiel, Alan H, Gradman |
| Rok vydání: |
2004 |
| Předmět: |
|
| Zdroj: |
The Canadian journal of cardiology. 20(7) |
| ISSN: |
0828-282X |
| Popis: |
A liver transplant recipient with hepatitis C presented with unexplained dyspnea, fatigue and edema. Diagnostic evaluation revealed a pericardial effusion with echocardiographic features of tamponade. The patient underwent therapeutic pericardial drainage, resulting in symptomatic relief. The pericardial fluid tested positive for hepatitis C virus (viral quantitation of 200,000 copies/mL, genotype 1b) and negative for other plausible etiologies. Pericardial biopsy revealed normal tissue. This is the fifth case of hepatitis C virus-associated pericardial disease worldwide and the first case in North America. It is the first in a liver transplant recipient. In contrast to previous reports, this patient demonstrated tamponade in the absence of cryoglobulinemia or systemic extrahepatic manifestations of hepatitis C. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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