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IF 1.9 4区医学 Q3 RESPIRATORY SYSTEM

Clinical Respiratory Journal Pub Date : 2025-02-26 DOI:10.1111/crj.70055

Miaojuan Zhu, Shuaiyu Lin, Yifei Chen, Jiong Yang, Hanxiang Nie

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引用次数: 0

摘要

背景结核性心包炎起初为纤维蛋白性和出血性心包炎，随后出现心包积液，继而心包肥厚，可转为亚急性或慢性阶段，部分发展为心包炎。早期诊断和治疗具有非常重要的临床意义。病例摘要我们报告了一例因胸腔积液入院的病例，患者是一名 82 岁的男性，已知有高血压病史。胸部 CT 扫描显示胸腔积液。入院时的超声心动图检查显示有少量心包积液（约 1.2 厘米厚）。随后进行了全身正电子发射计算机断层扫描（PET-CT），结果显示整个心包的氟脱氧葡萄糖摄取量略有增加，考虑为肺结核。他开始服用抗结核（TB）药物，并且耐受良好。随访超声心动图检查显示，胸腔积液和心包积液没有再次积聚。结论渗出性胸腔积液可能是结核性心包炎的临床表现之一。(1）双侧渗出性胸腔积液可能是结核性心包炎的早期临床表现；（2）PET/CT 在结核性心包炎的诊断和疗效评估中具有重要价值；（3）中心静脉压可能是结核性心包炎治疗的选择指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

What Causes Bilateral Pleural Effusion: A Case Report

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What Causes Bilateral Pleural Effusion: A Case Report

Background

Tuberculous pericarditis begins with fibrinous and hemorrhagic pericarditis, followed by pericardial effusion, then pericardial hypertrophy, which may turn into subacute or chronic stage, and partly develop into pericarditis. Early diagnosis and treatment have very important clinical significance.

Case Summary

We present a case of an 82-year-old man with a known history of hypertension who was admitted for pleural effusion. CT scan of the chest showed findings of pleural effusion. An echocardiographic study during admission revealed a small amount of pericardial effusion (~1.2 cm in thickness). A whole-body positron emission tomography-computer tomography (PET-CT) scan was then performed and showed a slightly increased fluorodeoxyglucose uptake in the entire pericardium considering tuberculosis. He was started on antituberculosis (TB) medications and tolerated them well. Follow-up echocardiographic study showed no re-accumulation of pleural effusion and pericardial fluid.

Conclusion

Transudative–exudative pleural effusion may be one of the clinical manifestations of tuberculous pericarditis. (1) Bilateral leaking pleural effusion may be the early clinical manifestation of tuberculous pericarditis; (2) PET/CT in the diagnosis and efficacy evaluation of tuberculous pericarditis is valuable; and (3) the central venous pressure may be an indicator of choice for treatment of tuberculous pericarditis.

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来源期刊

Clinical Respiratory Journal 医学-呼吸系统

CiteScore

3.70

自引率

0.00%

发文量

104

审稿时长

>12 weeks

期刊介绍： Overview Effective with the 2016 volume, this journal will be published in an online-only format. Aims and Scope The Clinical Respiratory Journal (CRJ) provides a forum for clinical research in all areas of respiratory medicine from clinical lung disease to basic research relevant to the clinic. We publish original research, review articles, case studies, editorials and book reviews in all areas of clinical lung disease including: Asthma Allergy COPD Non-invasive ventilation Sleep related breathing disorders Interstitial lung diseases Lung cancer Clinical genetics Rhinitis Airway and lung infection Epidemiology Pediatrics CRJ provides a fast-track service for selected Phase II and Phase III trial studies. Keywords Clinical Respiratory Journal, respiratory, pulmonary, medicine, clinical, lung disease, Abstracting and Indexing Information Academic Search (EBSCO Publishing) Academic Search Alumni Edition (EBSCO Publishing) Embase (Elsevier) Health & Medical Collection (ProQuest) Health Research Premium Collection (ProQuest) HEED: Health Economic Evaluations Database (Wiley-Blackwell) Hospital Premium Collection (ProQuest) Journal Citation Reports/Science Edition (Clarivate Analytics) MEDLINE/PubMed (NLM) ProQuest Central (ProQuest) Science Citation Index Expanded (Clarivate Analytics) SCOPUS (Elsevier)