Sarcoidosis presenting as acute pericarditis. A case report and review of pericardial sarcoidosis

Abstract Background This case report demonstrates pericardial effusion, acute pericarditis, and cardiac tamponade in an otherwise healthy woman who had a positive test result for coronavirus disease 2019. Few case reports have been documented on patients with this presentation, and it is important to share novel presentations of the disease as they are discovered. Case presentation A Caucasian patient with coronavirus disease 2019 returned to the emergency department of our hospital 2 days after her initial visit with worsening chest pain and shortness of breath. Imaging revealed new pericardial effusion since the previous visit. The patient became hypotensive, was taken for pericardial window for cardiac tamponade with a drain placed, and was treated for acute pericarditis. Conclusion Much is still unknown about the implications of coronavirus disease 2019. With the novel coronavirus disease 2019 pandemic, research is still in process, and we are slowly learning about new signs and symptoms of the disease. This case report documents a lesser-known presentation of a patient with coronavirus disease 2019 and will help to further understanding of a rare presentation.

Download Full-text

Complicated staphylococcal pericarditis in a child: a case report

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20204556 ◽

2020 ◽

Vol 7 (11) ◽

pp. 2252

Author(s):

Fehmida Sultana ◽

Deepti Jujaray ◽

Ravi P. V. Kiran

Keyword(s):

Case Report ◽

Pericardial Effusion ◽

Early Identification ◽

Clinical Presentation ◽

Paediatric Population ◽

Acute Pericarditis ◽

Life Threatening

Although primary pericarditis is unusually experienced and diagnosed in paediatric population, it has probable life threatening sequel. This case report presents a case of complicated community acquired staphylococcal pericarditis, which illustrates how evasive the diagnosis of pericardial effusion can be. Early identification of pericarditis and pericardial effusion is vital to enable emergent intervention to enhance prognosis and alleviate mortality. The purpose of this report is to probe into the etiology of acute pericarditis and also to review the clinical presentation, the management and complications connected with acute pericarditis.

Download Full-text

Early Repolarization vs. Acute Pericarditis Morphology: A Case Report of Electrocardiographic Mimicry

Cureus ◽

10.7759/cureus.4468 ◽

2019 ◽

Author(s):

Everett Rogers ◽

Amanda Maddrey ◽

Christina E Stamoolis ◽

Marc M Kesselman , D.O.

Keyword(s):

Case Report ◽

Early Repolarization ◽

Acute Pericarditis

Download Full-text

Prevention of High-Dose Cytosine Arabinoside-Induced Acute Pericarditis with Preemptive Dexamethasone Administration: A Case Report and Literature Review

Case Reports in Hematology ◽

10.1155/2018/4726451 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Weerapat Owattanapanich ◽

Theera Ruchutrakool

Keyword(s):

Acute Myeloid Leukemia ◽

Case Report ◽

Pericardial Effusion ◽

Literature Review ◽

Cytosine Arabinoside ◽

Myeloid Leukemia ◽

High Dose ◽

Fatal Complication ◽

Acute Pericarditis ◽

Acute Myeloid

Pericarditis/pericardial effusion (PC/PEEF) is a rare but fatal complication of cytosine arabinoside (Ara-C). We report an acute myeloid leukemia (AML) patient who developed massive pericardial effusion after a second Ara-C exposure. As Ara-C was most beneficial in controlling the leukemia, she was treated with a further cycle of Ara-C along with dexamethasone to prevent the complication from reoccurring. No PC/PEEF was subsequently detected.

Download Full-text

Uncommon Association Between Diabetic Ketoacidosis, Thyrotoxicosis, Cutaneous Abscess and Acute Pericarditis in an Immunocompetent Patient: A Single Case Report and Literature Review

Current Diabetes Reviews ◽

10.2174/1573399815666191025141841 ◽

2020 ◽

Vol 16 (6) ◽

pp. 641-648

Author(s):

Martinot Amelie ◽

Demar Magalie ◽

Thelusme Liliane ◽

Bounoua Merzaka ◽

Santa Florin ◽

...

Keyword(s):

Diabetes Mellitus ◽

Case Report ◽

Diabetic Ketoacidosis ◽

Metabolic Disorders ◽

Single Case ◽

Immunocompetent Patient ◽

Acute Pericarditis ◽

Single Case Report

Introduction : The typical factors precipitating diabetic ketoacidosis (DKA) include infections (30%), cessation of antidiabetic medication (20%), and a new diagnosis of diabetes (25%). The etiology remains unknown in 25% of cases. Less frequent causes cited in the literature include severe thyrotoxicosis and, infrequently, pericarditis. Few publications have described the role of human T lymphotropic virus type 1 (HTLV-1) in endocrine and metabolic disorders. Based on a clinical case associated with several endocrine and metabolic disorders, we suggest a potential role for HTLV-1, an endemic virus in the Amazonian area, and review the literature concerning the role of this virus in thyroiditis, pericarditis and diabetes mellitus. Case Report : A fifty-year-old Surinamese woman without any medical history was admitted for diabetic ketoacidosis. No specific anti-pancreatic autoimmunity was observed, and the C-peptide level was low, indicating atypical type-1 diabetes mellitus. DKA was associated with thyrotoxicosis in the context of thyroiditis and complicated by nonbacterial pericarditis and a Staphylococcus aureus subcutaneous abscess. The patient was infected with HTLV-1. Conclusion: To our knowledge, this uncommon association is described for the first time. Few studies have analyzed the implications of HTLV-1 infection in thyroiditis and diabetes mellitus. We did not find any reports describing the association of pericarditis with HTLV-1 infection. Additional studies are necessary to understand the role of HTLV-1 in endocrine and cardiac disorders.

Download Full-text

Acute pericarditis following treatment of a metastatic liver tumor with radiofrequency ablation: a case report

BMC Cardiovascular Disorders ◽

10.1186/s12872-018-0937-7 ◽

2018 ◽

Vol 18 (1) ◽

Author(s):

Jung-Chi Hsu ◽

Han-Lin Tsai ◽

Yu-Ling Lin ◽

Rei-Yeuh Chang

Keyword(s):

Case Report ◽

Radiofrequency Ablation ◽

Liver Tumor ◽

Metastatic Liver Tumor ◽

Acute Pericarditis ◽

Metastatic Liver

Download Full-text

Cytarabine-induced pericarditis confirmed using cardiac MRI after inconclusive echocardiography: A case report

10.22541/au.161497888.85708630/v1 ◽

2021 ◽

Author(s):

Tony Dong ◽

Tarek Chami ◽

Besher Chami ◽

Sadeer Al-Kindi ◽

Brian Hoit

Keyword(s):

Acute Myeloid Leukemia ◽

Case Report ◽

Late Gadolinium Enhancement ◽

Induction Chemotherapy ◽

Cardiac Mri ◽

Myeloid Leukemia ◽

Gadolinium Enhancement ◽

Acute Pericarditis ◽

Pericardial Edema ◽

Acute Myeloid

Pericarditis is a rare but debilitating complication of cytarabine therapy. While echocardiography can aid with the diagnosis, cardiac MRI has superior accuracy in establishing the diagnosis. In this case, we describe a 65-year-old patient receiving cytarabine as part of induction chemotherapy for acute myeloid leukemia who developed acute pericarditis. Her cardiac MRI revealed pericardial edema on T2-weighted STIR imaging and pericardial late gadolinium enhancement which confirmed the diagnosis.

Download Full-text