Pericardial Diseases

Fowler, Noble O.

doi:10.1007/978-1-4612-3068-7_23

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…The pericardial fluid was yellow and contained 1000 and 4000 polymorphonuclears. Further work-up for microbiological, immunological and malignant aetiologies was negative in both cases, suggesting a diagnosis of idiopathic pericarditis [2].…”

Section: Discussionmentioning

confidence: 92%

Cardiac tamponade preceding adrenal insufficiency ‐ an unusual presentation of Addisons's disease: a report of two cases.

Torfoss¹,

Lippe²,

Jacobsen

1997

Journal of Internal Medicine

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Torfoss D, von der Lippe E, Jacobsen D (Ullevaal University Hospital, Oslo, Norway). Cardiac tamponade preceding adrenal insdciencyan unusual presentation of Addison's disease: a report of two cases (Case report). J Intern Med 1997: 241: 525-8.Two cases of young healthy males presenting with cardiac tamponade and developing clinical adrenal insufficiency within a few weeks are described. On presentation they had a brisk inflammatory response with complement activation. Both had signs of subclinical hepatitis, and both have later shown evidence of thyroid involvement. The possibility of a connection between pericarditis and adrenal insdciency is discussed.

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Section: Discussionmentioning

confidence: 92%

Cardiac tamponade preceding adrenal insufficiency ‐ an unusual presentation of Addisons's disease: a report of two cases.

Torfoss¹,

Lippe²,

Jacobsen

1997

Journal of Internal Medicine

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“…In addition, we examined existing reviews of tuberculous pericarditis for relevant citations ( Schrire 1967 ; Bhan 1980 ; Fowler 1991 ; Fowler 1992 ; Alzeer 1993 ; Senderovitz 1994 ; Fowler 1995 ; Cisneros 1996 ; Dooley 1997 ; Strang 1997 ; Mayosi 2002 ; Ntsekhe 2003 ; Mayosi 2005 ; Syed 2007 ; Imazio 2015 ; Zumla 2015 ).…”

Section: Methodsunclassified

Interventions for treating tuberculous pericarditis

Wiysonge

Ntsekhe

Thabane

et al. 2017

Cochrane Database of Systematic Reviews

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Background Tuberculous pericarditis can impair the heart's function and cause death; long term, it can cause the membrane to fibrose and constrict causing heart failure. In addition to antituberculous chemotherapy, treatments include corticosteroids, drainage, and surgery. Objectives To assess the effects of treatments for tuberculous pericarditis. Search methods We searched the Cochrane Infectious Diseases Group Specialized Register (27 March 2017); the Cochrane Central Register of Controlled Trials (CENTRAL), published in the Cochrane Library (2017, Issue 2); MEDLINE (1966 to 27 March 2017); Embase (1974 to 27 March 2017); and LILACS (1982 to 27 March 2017). In addition we searched the metaRegister of Controlled Trials (mRCT) and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) search portal using 'tuberculosis' and 'pericard*' as search terms on 27 March 2017. We searched ClinicalTrials.gov and contacted researchers in the field of tuberculous pericarditis. This is a new version of the original 2002 review. Selection criteria We included randomized controlled trials (RCTs) and quasi‐RCTs. Data collection and analysis Two review authors independently screened search outputs, evaluated study eligibility, assessed risk of bias, and extracted data; and we resolved any discrepancies by discussion and consensus. One trial assessed the effects of both corticosteroid and Mycobacterium indicus pranii treatment in a two‐by‐two factorial design ; we excluded data from the group that received both interventions. We conducted fixed‐effect meta‐analysis and assessed the certainty of the evidence using the GRADE approach. Main results Seven trials met the inclusion criteria; all were from sub‐Saharan Africa and included 1959 participants, with 1051/1959 (54%) HIV‐positive. All trials evaluated corticosteroids and one each evaluated colchicine, M. indicus pranii immunotherapy, and open surgical drainage. Four trials (1841 participants) were at low risk of bias, and three trials (118 participants) were at high risk of bias. In people who are not infected with HIV, corticosteroids may reduce deaths from all causes (risk ratio (RR) 0.80, 95% confidence interval (CI) 0.59 to 1.09; 660 participants, 4 trials, low certainty evidence ) and the need for repeat pericardiocentesis (RR 0.85, 95% CI 0.70 to 1.04; 492 participants, 2 trials, low certainty evidence ). Corticosteroids probably reduce deaths from pericarditis (RR 0.39, 95% CI 0.19 to 0.80; 660 participants, 4 trials, moderate certainty evidence ). However, we do not know whether or not corticosteroids have an effect on constriction or cancer among HIV‐negative people ( very low certainty e...

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Pericardial Diseases

Cited by 2 publications

References 26 publications

Cardiac tamponade preceding adrenal insufficiency ‐ an unusual presentation of Addisons's disease: a report of two cases.

Cardiac tamponade preceding adrenal insufficiency ‐ an unusual presentation of Addisons's disease: a report of two cases.

Interventions for treating tuberculous pericarditis

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