Recurrent Hemorrhagic Pericardial Effusion and Tamponade due to Filariasis Successfully Treated with Ivermectin and Albendazole
Identifieur interne : 000185 ( Pmc/Curation ); précédent : 000184; suivant : 000186Recurrent Hemorrhagic Pericardial Effusion and Tamponade due to Filariasis Successfully Treated with Ivermectin and Albendazole
Auteurs : Santosh Kumar Sinha [Inde] ; Amit Goel [Inde] ; Mohit Sachan [Inde] ; Sameer Saraf [Inde] ; Chandra Mohan Verma [Inde]Source :
- Heart Views : The Official Journal of the Gulf Heart Association [ 1995-705X ] ; 2015.
Abstract
Filariasis presenting with pericardial effusion with tamponade is rare. We report a case of a 30-year-old female who was admitted with severe dyspnea and chest pain since 2 days. Echocardiogram showed massive pericardial effusion with tamponade. Pericardial fluid aspiration drained 1.2 L of hemorrhagic fluid. Cytology examination revealed microfilaria of
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DOI: 10.4103/1995-705X.159220
PubMed: 26240733
PubMed Central: 4485202
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<series><title level="j">Heart Views : The Official Journal of the Gulf Heart Association</title>
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<front><div type="abstract" xml:lang="en"><p>Filariasis presenting with pericardial effusion with tamponade is rare. We report a case of a 30-year-old female who was admitted with severe dyspnea and chest pain since 2 days. Echocardiogram showed massive pericardial effusion with tamponade. Pericardial fluid aspiration drained 1.2 L of hemorrhagic fluid. Cytology examination revealed microfilaria of <italic>Wuchereria bancrofti</italic>
. She was treated with diethyl carbamazine and discharged. Six weeks later, she presented again with massive pericardial effusion with cardiac tamponade. Pericardiocentesis was done. Cytology examination revealed microfilaria of <italic>W. bancrofti</italic>
. This time she was treated with ivermectin and albendazole and cured. Hemorrhagic effusion resolved completely. Though relatively uncommon, tropical diseases must always be considered in the etiological diagnosis of recurrent pericardial effusion.</p>
</div>
</front>
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<author><name sortKey="Sistla, Sc" uniqKey="Sistla S">SC Sistla</name>
</author>
<author><name sortKey="Verma, Sk" uniqKey="Verma S">SK Verma</name>
</author>
<author><name sortKey="Jagdish, S" uniqKey="Jagdish S">S Jagdish</name>
</author>
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<biblStruct><analytic><author><name sortKey="Prasanthi, K" uniqKey="Prasanthi K">K Prasanthi</name>
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<author><name sortKey="Nagamani, K" uniqKey="Nagamani K">K Nagamani</name>
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<author><name sortKey="Saxena, Nk" uniqKey="Saxena N">NK Saxena</name>
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<author><name sortKey="Salkar, Hr" uniqKey="Salkar H">HR Salkar</name>
</author>
<author><name sortKey="Ghodeswar, Ss" uniqKey="Ghodeswar S">SS Ghodeswar</name>
</author>
<author><name sortKey="Gawande, Jp" uniqKey="Gawande J">JP Gawande</name>
</author>
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</author>
<author><name sortKey="Langer, S" uniqKey="Langer S">S Langer</name>
</author>
<author><name sortKey="Aggarwal, M" uniqKey="Aggarwal M">M Aggarwal</name>
</author>
<author><name sortKey="Agarwal, C" uniqKey="Agarwal C">C Agarwal</name>
</author>
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<biblStruct><analytic><author><name sortKey="Reddy, Gs" uniqKey="Reddy G">GS Reddy</name>
</author>
<author><name sortKey="Balasundaram, S" uniqKey="Balasundaram S">S Balasundaram</name>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Heart Views</journal-id>
<journal-id journal-id-type="iso-abbrev">Heart Views</journal-id>
<journal-id journal-id-type="publisher-id">HV</journal-id>
<journal-title-group><journal-title>Heart Views : The Official Journal of the Gulf Heart Association</journal-title>
</journal-title-group>
<issn pub-type="ppub">1995-705X</issn>
<issn pub-type="epub">0976-5123</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26240733</article-id>
<article-id pub-id-type="pmc">4485202</article-id>
<article-id pub-id-type="publisher-id">HV-16-53</article-id>
<article-id pub-id-type="doi">10.4103/1995-705X.159220</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Recurrent Hemorrhagic Pericardial Effusion and Tamponade due to Filariasis Successfully Treated with Ivermectin and Albendazole</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sinha</surname>
<given-names>Santosh Kumar</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Goel</surname>
<given-names>Amit</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sachan</surname>
<given-names>Mohit</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Saraf</surname>
<given-names>Sameer</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Verma</surname>
<given-names>Chandra Mohan</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">GSVM Medical College, Kanpur, Uttar Pradesh, India</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Santosh Kumar Sinha, 4 Prabhu Bandana Apartment 9/62 Arya Nagar, Kanpur, Uttar Pradesh - 208 002, India. E-mail: <email xlink:href="fionasan@rediffmail.com">fionasan@rediffmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Apr-Jun</season>
<year>2015</year>
</pub-date>
<volume>16</volume>
<issue>2</issue>
<fpage>53</fpage>
<lpage>55</lpage>
<permissions><copyright-statement>Copyright: © Gulf Heart Association 2015.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Filariasis presenting with pericardial effusion with tamponade is rare. We report a case of a 30-year-old female who was admitted with severe dyspnea and chest pain since 2 days. Echocardiogram showed massive pericardial effusion with tamponade. Pericardial fluid aspiration drained 1.2 L of hemorrhagic fluid. Cytology examination revealed microfilaria of <italic>Wuchereria bancrofti</italic>
. She was treated with diethyl carbamazine and discharged. Six weeks later, she presented again with massive pericardial effusion with cardiac tamponade. Pericardiocentesis was done. Cytology examination revealed microfilaria of <italic>W. bancrofti</italic>
. This time she was treated with ivermectin and albendazole and cured. Hemorrhagic effusion resolved completely. Though relatively uncommon, tropical diseases must always be considered in the etiological diagnosis of recurrent pericardial effusion.</p>
</abstract>
<kwd-group><kwd>Albendazole</kwd>
<kwd>diethyl carbamazine</kwd>
<kwd>ivermectin</kwd>
<kwd>pericardial effusion with tamponade</kwd>
<kwd><italic>Wuchereria bancrofti</italic>
</kwd>
</kwd-group>
</article-meta>
</front>
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