Sudden Cardiac Arrest Caused by Tuberculous Pericarditis with Hemorrhagic Pericardial Effusion
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- Hayase Naoki
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Inokuchi Ryota
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Nakamura Kensuke
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Horie Ryohei
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Sato Hajime
- Department of Health Policy and Technology Assessment, National Institute of Public Health, Japan
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- Asada Toshifumi
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Ohashi Naoko
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Yamamoto Miyuki
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Nagatomo Kanae
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Ito Rei
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Gunshin Masataka
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Matsubara Takehiro
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Ishii Takeshi
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Kitsuta Yoichi
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Nakajima Susumu
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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- Yahagi Naoki
- Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
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Abstract
As tuberculosis still exists in Japan, tuberculous pericarditis is a major health issue. Tuberculous pericarditis is difficult to diagnose and leads to poor outcomes when left untreated. We herein report the case of a patient who was admitted to the hospital after undergoing resuscitation for cardiopulmonary arrest. Mycobacterium tuberculosis was detected in his hemorrhagic pericardial fluid and tuberculous pericarditis was diagnosed. The administration of antituberculous medication resulted in marked improvements. A diagnosis of tuberculous pericarditis, in addition to other causes such as malignant tumors, should therefore be considered in the differential diagnosis for cases presenting with hemorrhagic pericardial effusion, even in those involving sudden cardiac arrest.<br>
Journal
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- Internal Medicine
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Internal Medicine 51 (22), 3197-3201, 2012
The Japanese Society of Internal Medicine