Cardiac Sarcoidosis: An Unusual Cause of Recurrent Large Pericardial Effusion

Whiteside, Hoyle; Jyothidasan, Amudhan; Sorrentino, Robert; Patel, Vijay; Sharma, Gyanendra

doi:10.1016/s0735-1097(16)31074-9

Cited by 2 publications

(1 citation statement)

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“…The recurrence of the large pericardial effusion after 1 week is also a rare finding, reported in very few cases. 4,5 Believing in the importance of investigating unexplained pericardial effusions, especially if large, symptomatic and recurrent, we undertook many investigations. Laboratory results did not help in our search for the specific aetiology of pericardial effusion in our patient.…”

Section: Discussionmentioning

confidence: 99%

Rare Presentation of Cardiac Sarcoidosis With Recurrent Large Pericardial Effusion and Stress-induced Cardiomyopathy

Qasim

Alkatout

Qaddoura

et al. 2022

J Asian Pac Soc Cardiol

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A 65-year-old female known to have type 2 diabetes, with no significant past medical history, had presented to another hospital with a 2-week history of progressive dyspnoea, orthopnoea and, lower limb oedema. Echocardiography revealed a large pericardial effusion with echocardiographic signs of increased intrapericardial pressure. An emergency pericardiocentesis was performed. After 1 week, the patient was admitted to King Fahd Military Medical Complex (Dhahran, Saudi Arabia) because of re-accumulation of the large pericardial effusion, which mandated another pericardiocentesis. CT of the chest revealed enlarged mediastinal lymph nodes. Video-assisted thoracic surgery was performed to obtain a pericardial window and a biopsy from the mediastinal lymph nodes, which revealed non-caseating granuloma, highly suggestive of sarcoidosis. A few days after surgery the patient experienced a neurogenic bladder, acute renal shutdown, and metabolic acidosis, during which she developed stress-induced cardiomyopathy that improved a few days later. The patient’s symptoms improved within 2 weeks after receiving corticosteroids.

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Section: Discussionmentioning

confidence: 99%