Sudden Cardiac Arrest Caused by Tuberculous Pericarditis with Hemorrhagic Pericardial Effusion

Naoki Hayase; Ryota Inokuchi; Kensuke Nakamura; Ryohei Horie; Hajime Sato; Toshifumi Asada; Naoko Ohashi; Miyuki Yamamoto; Kanae Nagatomo; Rei Ito; Masataka Gunshin; Takehiro Matsubara; Takeshi Ishii; Yoichi Kitsuta; Susumu Nakajima; Naoki Yahagi

doi:10.2169/internalmedicine.51.7958

CASE REPORTS

Sudden Cardiac Arrest Caused by Tuberculous Pericarditis with Hemorrhagic Pericardial Effusion

Naoki Hayase, Ryota Inokuchi, Kensuke Nakamura, Ryohei Horie, Hajime Sato, Toshifumi Asada, Naoko Ohashi, Miyuki Yamamoto, Kanae Nagatomo, Rei Ito, Masataka Gunshin, Takehiro Matsubara, Takeshi Ishii, Yoichi Kitsuta, Susumu Nakajima, Naoki Yahagi

Author information

Naoki Hayase
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Ryota Inokuchi
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Kensuke Nakamura
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Ryohei Horie
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Hajime Sato
Department of Health Policy and Technology Assessment, National Institute of Public Health, Japan
Toshifumi Asada
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Naoko Ohashi
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Miyuki Yamamoto
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Kanae Nagatomo
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Rei Ito
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Masataka Gunshin
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Takehiro Matsubara
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Takeshi Ishii
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Yoichi Kitsuta
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Susumu Nakajima
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan
Naoki Yahagi
Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan

Keywords: tuberculous, pericarditis, arrhythmia, miliary tuberculosis

JOURNAL OPEN ACCESS

2012 Volume 51 Issue 22 Pages 3197-3201

DOI https://doi.org/10.2169/internalmedicine.51.7958

Details

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.

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