Database : MEDLINE
Search on : Pericarditis [Words]
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[PMID]: 29515723
[Au] Autor:El Euch M; Haddad S; Mahfoudhi M; Hamida FB; Jaziri F; Abdelghani KB; Turki S; Abdallah TB
[Ad] Address:Service de Médecine Interne « A ¼ Hôpital Charles Nicolle, Tunis, Tunisie.
[Ti] Title:Maladie cÅ“liaque de l'adulte révélée par une polysérite. [Celiac disease in adult patients revealed by polyserositis: about a case].
[So] Source:Pan Afr Med J;28:105, 2017.
[Is] ISSN:1937-8688
[Cp] Country of publication:Uganda
[La] Language:fre
[Ab] Abstract:Celiac disease (CD) is an autoimmune disease affecting multiple organs. It often presents as gastrointestinal manifestations associated with malabsorption. However, serosa involvement uncommonly reveals this enteropathy, making the diagnosis difficult. We here report the case of JA, aged 63 years, admitted to hospital to detect the cause of malabsorption syndrome associated with polyserositis signs including pleurisy, pericarditis, ascites and hydrocephalus. The diagnosis of CD was based on endoscopic signs without serology tests. Patient's evolution was partially favorable, due to lack of compliance with a gluten-free diet. Our study reports the first case of CD revealed by polyserositis. CD should be suspected in patients with malabsorption syndrome, in the absence of evocative signs.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180311
[Lr] Last revision date:180311
[St] Status:In-Process
[do] DOI:10.11604/pamj.2017.28.105.10878

  2 / 12066 MEDLINE  
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[PMID]: 29518366
[Au] Autor:Kanelidis AJ; Oehler D; Oehler CL; Rosenberg J; Paul JD
[Ad] Address:Department of Medicine, University of Chicago Medical Center, Chicago, IL. Electronic address: Anthony.Kanelidis@uchospitals.edu.
[Ti] Title:A Binge and a Breach: Cardiac Tamponade Caused by Haemophilus Influenzae.
[So] Source:Am J Med;, 2018 Mar 05.
[Is] ISSN:1555-7162
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[St] Status:Publisher

  3 / 12066 MEDLINE  
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[PMID]: 29333818
[Au] Autor:Gentile Á; Bakir J; Ensinck G; Cancellara A; Casanueva EV; Firpo V; Caruso M; Lución MF; Santillán Iturres A; Molina F; Abate HJ; Gajo Gane A; López Papucci S; Grupo de Trabajo de Staphylococcus aureus
[Ad] Address:Hospital de Niños Ricardo Gutiérrez, Ciudad Autónoma de Buenos Aires. angelagentile21@gmail.com.
[Ti] Title:Infecciones por Staphylococcus aureus meticilino resistente adquirido en la comunidad: hospitalización y riesgo de letalidad en 10 centros pediátricos de Argentina. Community-acquired methicillin-resistant Staphylococcus aureus infections: hospitalization and case fatality risk in 10 pediatric facilities in Argentina.
[So] Source:Arch Argent Pediatr;116(1):e47-e53, 2018 Feb 01.
[Is] ISSN:1668-3501
[Cp] Country of publication:Argentina
[La] Language:eng; spa
[Ab] Abstract:INTRODUCTION: Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections are prevalent both in Argentina and worldwide, and they may have a severe clinical course. OBJECTIVES: To estimate the hospitalization rate and case fatality risk factors of CA-MRSA infection. METHODS: Cross-sectional, analytical study. All patients < 15 years old with community-acquired Staphylococcus aureus (CA-SA) infections admitted to 10 pediatric facilities between January 2012 and December 2014 were included. RESULTS: Out of 1141 patients with CA-SA, 904 (79.2%) had CA-MRSA. The rate of hospitalization of CA-MRSA cases (per 10 000 discharges) among patients < 5 years old was 27.6 in 2012, 35.2 in 2013, and 42.7 in 2014 (p = 0.0002). The 2-4-year-old group was the most affected one: 32.2, 49.4, and 54.4, respectively (p = 0.0057). The clinical presentations included skin and soft tissue infections: 66.2%, pneumonia: 11.5%, sepsis/bacteremia: 8.5%, osteomyelitis: 5.5%, arthritis: 5.2%, psoas abscess: 1.0%, pericarditis/endocarditis: 0.8%, meningitis: 0.6%, and other: 0.7%. In terms of antibiotic resistance, 11.1% had resistance to erythromycin; 8.4%, to gentamicin; and 0.6%, to trimethoprim-sulfamethoxazole. All strains were susceptible to vancomycin. The case fatality rate was 2.2% and associated risk factors were (odds ratio [95% confidence interval]) age > 8 years (2.78, 1.05-7.37), pneumonia (6.37, 2.3717.09), meningitis (19.53, 2.40-127.87), and sepsis/bacteremia (39.65, 11.94-145.55). CONCLUSIONS: The rate of CA-MRSA infection was high; the rate of hospitalization increased in the 2013-2014 period; the 2-4-year-old group was the most affected one. A higher case fatality risk was observed among patients > 8 years old and those with the clinical presentations of pneumonia, meningitis, and sepsis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[St] Status:In-Data-Review
[do] DOI:10.5546/aap.2018.eng.e47

  4 / 12066 MEDLINE  
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[PMID]: 29300912
[Au] Autor:Oyakawa T; Muraoka N; Iida K; Kusuhara M; Naito T; Omae K
[Ad] Address:Division of Cardiology, Shizuoka Cancer Center.
[Ti] Title:Characteristics of cellular composition in malignant pericardial effusion and its association with the clinical course of carcinomatous pericarditis.
[So] Source:Jpn J Clin Oncol;48(3):291-294, 2018 Mar 01.
[Is] ISSN:1465-3621
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:To date, the cellular composition of malignant pericardial effusion (MPE) and its association with the clinical course of carcinomatous pericarditis remain unclear. We aimed to determine the MPE cellular composition and its association with carcinomatous pericarditis. Forty-four cases indicated for pericardial drainage due to symptomatic carcinomatous pericarditis were retrospectively reviewed; the blood cell count and composition of MPE were examined. The most dominant cells in MPE were neutrophils. The appearance ratio of an atypical cell in cytologically positive MPE was 95.5%. Low neutrophil and high lymphocyte counts were significantly associated with good effusion failure-free survival at 1 month. The survival after pericardial drainage was significantly shorter when the neutrophil/lymphocyte ratio was 3.5 or more (P = 0.041). Patients whose performance status improved due to drainage had significantly high leukocyte counts in MPE (P = 0.02). Prediction of the course of drainage through basic examination of MPE cellular composition might be beneficial in clinical practice.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[St] Status:In-Process
[do] DOI:10.1093/jjco/hyx187

  5 / 12066 MEDLINE  
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[PMID]: 29506451
[Au] Autor:Bansal N; Walters HL; Kobayashi D
[Ad] Address:1 Division of Cardiology, Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA.
[Ti] Title:Purulent Pericarditis Due to Paronychia in a 16-Month-Old Child: A Nail-Biting Story.
[So] Source:World J Pediatr Congenit Heart Surg;:2150135117742651, 2018 Jan 01.
[Is] ISSN:2150-136X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Purulent pericarditis is a rare infectious disease with significant mortality, even in the modern antibiotic era. The presenting signs can often be subtle and patients can deteriorate rapidly with cardiac tamponade. We report a previously healthy 16-month-old female who developed purulent pericarditis associated with paronychia and sepsis caused by methicillin-sensitive Staphylococcus aureus. In addition to antibiotic treatment, she required emergent pericardiocentesis for cardiac tamponade, followed by two surgical interventions including full median sternotomy incision and partial pericardiectomy. At 4-month follow-up, she did well with no evidence of constrictive pericarditis on echocardiogram.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180306
[Lr] Last revision date:180306
[St] Status:Publisher
[do] DOI:10.1177/2150135117742651

  6 / 12066 MEDLINE  
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[PMID]: 29506437
[Au] Autor:Farooq Sheikh AS; Marks J; Hopkinson N
[Ad] Address:1 Rheumatology Registrar, Department of Rheumatology, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, UK.
[Ti] Title:Adult-onset Still's disease with prominent polyserositis.
[So] Source:Scott Med J;:36933018760763, 2018 Jan 01.
[Is] ISSN:0036-9330
[Cp] Country of publication:Scotland
[La] Language:eng
[Ab] Abstract:Adult-onset Still's disease is a systemic autoinflammatory disease the presentation of which can often mimic infection. As a consequence, there is often a delay in diagnosis. Serositis is a recognised but less common clinical feature that can result in complications including cardiac tamponade and constrictive pericarditis. We describe a case of adult-onset Still's disease without the hallmark rash or significant arthritis, presenting with polyserositis that showed a good response to initial steroid treatment and sustained remission with anakinra. An elevated procalcitonin level was due to active adult-onset Still's disease, not bacterial infection.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180306
[Lr] Last revision date:180306
[St] Status:Publisher
[do] DOI:10.1177/0036933018760763

  7 / 12066 MEDLINE  
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[PMID]: 29505490
[Au] Autor:Manu P; Lapitskaya Y; Shaikh A; Nielsen J
[Ad] Address:Hofstra Northwell School of Medicine, Hempstead, NY.
[Ti] Title:Clozapine Rechallenge After Major Adverse Effects: Clinical Guidelines Based on 259 Cases.
[So] Source:Am J Ther;25(2):e218-e223, 2018 Mar/Apr.
[Is] ISSN:1536-3686
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Clozapine is widely prescribed for treatment-refractory schizophrenia, but its use is limited by many potentially life-threatening adverse effects. The risk of rechallenge after these complications has never been comprehensively assessed in controlled studies. Thus, clinical guidelines must rely on the published case reports. The number of such reports is likely to increase over time, and updated analyses of larger samples are needed, as they may lead to changes in clinical guidelines. STUDY QUESTIONS: How safe is the clozapine rechallenge after life-threatening adverse effects? STUDY DESIGN: The published case reports of clozapine rechallenge were identified in a MEDLINE search. We added 121 cases reported from 2012 through 2017 to the 138 cases reported from 1972 through 2011 analyzed by us in a previous publication. The 95% confidence intervals (CIs) of the successful rechallenge rate were calculated for each adverse effect with at least 5 published case reports. The rechallenge was considered a valid clinical option when the lower end of the CI range was at least 50%. RESULTS: A successful outcome was documented in 128/203 patients rechallenged after neutropenia (63.0%, CI, 56.0%-69.6%), 3/17 after agranulocytosis (17.7%, CI, 4.7%-44.2%), 11/17 after myocarditis (64.7%, CI, 38.6%-84.7%), and 7/7 after neuroleptic malignant syndrome (100%, CI, 56.1%-100%). Among the 15 patients with other clozapine-induced adverse effects, the rechallenge was successful in those with eosinophilia, cardiac complications other than myocarditis (QTc prolongation, pericarditis, cardiomyopathy, and atrial flutter), and gastrointestinal hypomotility. The rechallenge failed in patients who had developed pancreatitis or renal insufficiency. CONCLUSION: Clozapine rechallenge is a reasonable clinical option after return to baseline for patients who had developed neutropenia and neuroleptic malignant syndrome, but not after agranulocytosis or myocarditis. Data are insufficient to formulate rechallenge guidelines for any other clozapine-related adverse effects.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:In-Process
[do] DOI:10.1097/MJT.0000000000000715

  8 / 12066 MEDLINE  
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[PMID]: 29501061
[Au] Autor:Fernández-Redondo D; García-Muñoz C; Nieves-Sedano M; Ferrari-Piquero JM
[Ad] Address:Servicio de Farmacia, Hospital Universitario 12 de Octubre, Madrid. deliafdezredondo@gmail.com.
[Ti] Title:Pericarditis refractaria tratada con éxito con anakinra en un paciente pediátrico. [Refractory pericarditis successfully treated with anakinra in a pediatric patient].
[So] Source:Farm Hosp;42(2):89-90, 2018 Mar 01.
[Is] ISSN:2171-8695
[Cp] Country of publication:Spain
[La] Language:spa
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180304
[Lr] Last revision date:180304
[St] Status:In-Data-Review
[do] DOI:10.7399/fh.10893

  9 / 12066 MEDLINE  
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[PMID]: 29491280
[Au] Autor:Ito T; Akamatsu K; Ukimura A; Fujisaka T; Ozeki M; Kanzaki Y; Ishizaka N
[Ad] Address:Department of Cardiology, Osaka Medical College, Japan.
[Ti] Title:The Prevalence and Findings of Subclinical Influenza-associated Cardiac Abnormalities among Japanese Patients.
[So] Source:Intern Med;, 2018 Feb 28.
[Is] ISSN:1349-7235
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:Objective Although life-threatening cardiac complications in influenza infection are rare, subclinical influenza-associated cardiac abnormalities may occur more frequently. We investigated the prevalence of subclinical cardiac findings. Methods After obtaining their written informed consent, 102 subjects were enrolled in the present study. The study subjects underwent a first set of examinations, which included electrocardiography (ECG), echocardiography, and the measurement of their cardiac enzyme levels. Those with one or more abnormal findings among these examinations were encouraged to undergo a repeat examination 2 weeks later. Results Among the 102 subjects enrolled, 20 (19.6%) were judged to have cardiac findings, including ST-T abnormalities, pericardial effusion, diastolic dysfunction, and cardiac enzyme elevation. Eighteen of these 20 subjects underwent a second screening at a median of 14 days later, and it was found that 11 of the 18 subjects were free from cardiac findings on this second examination. This suggested that the abnormalities were only transient and they therefore might have been associated with influenza. Approximately 20% of the influenza patients enrolled had cardiac findings, including ST-T segment abnormalities, pericardial effusion, and cardiac enzyme elevation. Conclusion Among the 102 patients who were studied, the cardiac findings were only mild and transient; however, physicians should be aware of influenza infection-associated cardiac abnormalities because such abnormalities may not be rare.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180301
[Lr] Last revision date:180301
[St] Status:Publisher
[do] DOI:10.2169/internalmedicine.0316-17

  10 / 12066 MEDLINE  
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[PMID]: 29390286
[Au] Autor:Kuo CC; Yu WL; Lee CH; Wu NC
[Ad] Address:Division of Cardiovascular Surgery, Department of Surgery.
[Ti] Title:Purulent constrictive pericarditis caused by Salmonella enteritidis in a patient with adult-onset Still's disease: A case report.
[So] Source:Medicine (Baltimore);96(50):e8949, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:RATIONALE: Purulent pericarditis is a rare and usually fatal disease. Immunodeficiency state and preexisting pericardial effusion can predispose patients to infections. However, we are not aware of similar cases in patients with adult-onset Still's disease (AOSD). In addition, it is seldom caused by Salmonella bacteria. PATIENT CONCERNS: We report a 30-year-old woman with dyspnea on exertion and epigastric fullness. She was newly diagnosed with AOSD 4 months previously and medicated with prednisolone. DIAGNOSES: Transthoracic echocardiography (TTE) and computed tomography revealed a thickened pericardium with loculations in the pericardial space, consistent with purulent constrictive pericarditis. Subsequent cultures of blood and pericardial fluid yielded S enteritidis. INTERVENTIONS: She underwent subtotal pericardiectomy through a limited median sternotomy, and antibiotic therapy (ceftriaxone) for 1 month. OUTCOMES: The New York Heart Association functional classification downgraded from class III to class I. There was no recurrence during the 1-year follow-up. LESSONS: This case presents an opportunity to highlight the importance of considering purulent pericarditis in patients previously diagnosed with AOSD. High clinical suspicion, early diagnosis, and prompt management can result in a better outcome in purulent pericarditis.
[Mh] MeSH terms primary: Pericarditis, Constrictive/microbiology
Salmonella enteritidis/isolation & purification
Still´s Disease, Adult-Onset/complications
Still´s Disease, Adult-Onset/diagnosis
[Mh] MeSH terms secundary: Adult
Anti-Bacterial Agents/therapeutic use
Combined Modality Therapy
Echocardiography
Female
Humans
Pericarditis, Constrictive/diagnostic imaging
Pericarditis, Constrictive/therapy
Sternotomy
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Nm] Name of substance:0 (Anti-Bacterial Agents)
[Em] Entry month:1802
[Cu] Class update date: 180301
[Lr] Last revision date:180301
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008949


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