Usefulness of echocardiographic intrapericardial abnormalities in the diagnosis of tuberculous pericardial effusion
Section snippets
Acknowledgements
We wish to thank Hsu Huei-Chen and Yeh Tsui-Ting for their assistance in the examination of echocardiography and the preparation of the manuscript.
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2016, Radiologic Clinics of North AmericaCitation Excerpt :Tuberculous pericardial effusion, which is typically exudative with high protein content and increased leukocyte count, may manifest with cardiac tamponade (10%).98 Fibrinous strands within a pericardial effusion on echocardiogram are very suggestive of TB infection.99 Constrictive pericarditis is one of the most serious complications of tuberculous pericarditis, reported in as much as half of affected patients with TB pericardial infection.100
A pericardial effusion
2010, Revue de Medecine InterneInitial echocardiographic characteristics of pericardial effusion determine the pericardial complications
2009, International Journal of CardiologyCitation Excerpt :Exudative frond-like coating and fibrinous strands in PE on 2-dimensional echocardiography have been described as specific findings of tuberculous PE [2,3,21]. However, these echocardiographic features are also found in malignant PE or bacterial PE [2,4]. Fibrinoid change of pericardium associated with pericardial inflammation, malignant cell seeding, or hypersensitivity reaction to the foreign protein have been regarded as causes of those echogenic materials [2].
A Modern Approach to Tuberculous Pericarditis
2007, Progress in Cardiovascular DiseasesAdenosine deaminase and tuberculous pericarditis-A systematic review with meta-analysis
2006, Acta TropicaCitation Excerpt :Thorax radiography can usually demonstrate an increase in the cardiac area but if not associated with the parenchymal alterations suggestive of tuberculosis, this exam is associated with a low positive predictive value of TP (Reuter et al., 2005a). Transthoracic echocardiogram is a useful test to detect and quantify the pericardial effusion as well as a valuable tool to guide the pericardiocentesis (Liu et al., 2001). Another procedure of interest is the video-assisted thoracoscopy, which permits direct inspection of thoracic cavity and pericardium surface as well as the guidance of diagnostic biopsies and pericardial effusion drainage if indicated (Tuon, 2006).
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