南非大量心包积液并不总是由肺结核引起

S. Ntshalintshali, N. Mhlana, F. Moosajee, Riyad Abousriwiel, K. George, R. D. Toit
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引用次数: 0

摘要

南非(SA)的结核病发病率很高。类似结核病的医疗状况往往导致在做出明确诊断之前错误地使用抗结核治疗(ATT)。我们报告了2例继发于斯蒂尔氏病(sJIA)和成人发病斯蒂尔氏病(AOSD)的大量心包积液。这两个病例都接受了ATT治疗,只有在治疗反应不佳和ATT相关副作用出现时才考虑进行替代诊断。我们的目的是提醒临床医生在结核病流行地区大量渗出性心包炎的临床情况下的其他潜在鉴别诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A massive pericardial effusion in South Africa is not always due to tuberculosis
South Africa (SA) has a high incidence of tuberculosis. Medical conditions mimicking tuberculosis often result in erroneous treatment with antitubercular therapy (ATT) before a definitive diagnosis is made. We report on 2 cases presenting with massive pericardial effusions secondary to Still’s disease (sJIA) and Adult onset Still’s disease (AOSD). Both cases were treated with ATT, with an alternative diagnosis only considered upon poor response to therapy and the development of ATT associated side effects. Our objective is to remind clinicians of other potential differential diagnoses in the clinical scenario of massive effusive pericarditis in a tuberculosis endemic region.
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