Is It an Intrapericardial Mass or a Localized Pericardial Effusion? A Case Report of Tuberculous Pericarditis Evaluated by Multimodal Imaging.

IF 1.4 4区 医学 Q3 ACOUSTICS
Yang Han, Bingbing Liu, Yonghuai Wang, Fei Xia, Jun Yang, Chunyan Ma
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引用次数: 0

Abstract

Tuberculous pericarditis is often difficult to diagnose because of atypical symptoms and insufficient etiology examination. We present a case wherein the patient initially presented with a high fever accompanied by recurrent pericardial effusion. Notably, the etiology and genetic diagnosis of tuberculosis were negative. With the combined application of multimodal imaging techniques such as transthoracic echocardiography, transesophageal echocardiography, contrast-enhanced ultrasound and enhanced CT, clinical diagnosis and treatment can provide sufficient evidence to support tuberculous pericarditis. Following the definitive diagnosis, the patient received an adequate course of antituberculosis treatment, and the condition improved significantly, with no recurrence of symptoms.

是心包内肿块还是局部心包积液?结核性心包炎1例多模态影像学评价。
结核性心包炎通常因症状不典型及病因检查不足而难以诊断。我们提出一个病例,其中患者最初提出了高烧,并伴有反复心包积液。值得注意的是,结核的病因和遗传诊断均为阴性。经胸超声心动图、经食管超声心动图、超声造影、增强CT等多模态成像技术的联合应用,临床诊断和治疗可为结核性心包炎提供充分的证据支持。确诊后,患者接受了充分的抗结核治疗,病情明显改善,无症状复发。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
248
审稿时长
6 months
期刊介绍: The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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