Pub Date : 2018-01-05DOI: 10.20418/JRCD.VOL3NO5.287
E. Kwiecień, Mariusz Kafara, Leszek Drabik, W. Płazak
We report a case of a 56-year-old female after breast cancer treatment, who was diagnosed with left atrial myxoma as a rare cause of cerebral and cerebellar stroke.JRCD 2017; 3 (5): 168–170
{"title":"Left atrial myxoma as a cause of multiple cerebral microembolization (RCD code: VI 1A.1)","authors":"E. Kwiecień, Mariusz Kafara, Leszek Drabik, W. Płazak","doi":"10.20418/JRCD.VOL3NO5.287","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO5.287","url":null,"abstract":"We report a case of a 56-year-old female after breast cancer treatment, who was diagnosed with left atrial myxoma as a rare cause of cerebral and cerebellar stroke.JRCD 2017; 3 (5): 168–170","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"478 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87561969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-05DOI: 10.20418/JRCD.VOL3NO5.317
P. Podolec
We present to you the fourth and final issue of Journal of Rare Cardiovascular Diseases (JRCD) for 2017.
我们向您展示2017年第四期也是最后一期《罕见心血管疾病杂志》(JRCD)。
{"title":"JRCD in the European Heart Journal","authors":"P. Podolec","doi":"10.20418/JRCD.VOL3NO5.317","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO5.317","url":null,"abstract":"We present to you the fourth and final issue of Journal of Rare Cardiovascular Diseases (JRCD) for 2017.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"50 1","pages":"147"},"PeriodicalIF":0.0,"publicationDate":"2018-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85595607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-05DOI: 10.20418/JRCD.VOL3NO5.296
E. Dziewięcka, P. Rubis, S. Wiśniowska-Śmiałek, K. Holcman, A. Leśniak‑Sobelga, M. Hlawaty, M. Kostkiewicz, P. Podolec
Hypertrophic cardiomyopathy (HCM) is a primary disease of the myocardium that is defined by the presence of regional (more frequent) or global myocardial hypertrophy, which usually results in functional cardiac impairment. We present a case of a 34-year-old man with apical HCM who was admitted to the cardiology department due to cardiac hypertrophy in the echocardiogram. The management of HCM patients is directed at heart failure treatment and decreasing left ventricular outflow tract or intraventricular gradient, if present. According to the patient’s calculated 5-year mortality risk, assessed using the HCM Risk-SCD Calculator, indications for implantation of an implantable cardioverter defibrillator were evaluated. JRCD 2017; 3 (5): 180–183
{"title":"A 34‐year‐old man with non‐obstructive apical hypertrophic cardiomyopathy (RCD code: III‐2A.1)","authors":"E. Dziewięcka, P. Rubis, S. Wiśniowska-Śmiałek, K. Holcman, A. Leśniak‑Sobelga, M. Hlawaty, M. Kostkiewicz, P. Podolec","doi":"10.20418/JRCD.VOL3NO5.296","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO5.296","url":null,"abstract":"Hypertrophic cardiomyopathy (HCM) is a primary disease of the myocardium that is defined by the presence of regional (more frequent) or global myocardial hypertrophy, which usually results in functional cardiac impairment. We present a case of a 34-year-old man with apical HCM who was admitted to the cardiology department due to cardiac hypertrophy in the echocardiogram. The management of HCM patients is directed at heart failure treatment and decreasing left ventricular outflow tract or intraventricular gradient, if present. According to the patient’s calculated 5-year mortality risk, assessed using the HCM Risk-SCD Calculator, indications for implantation of an implantable cardioverter defibrillator were evaluated. JRCD 2017; 3 (5): 180–183","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"19 1","pages":"180"},"PeriodicalIF":0.0,"publicationDate":"2018-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82878333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-05DOI: 10.20418/JRCD.VOL3NO5.293
P. Iwaszczuk, Felipe Haupenthal, Rogério da Silva Logrado Júnior, Monika Smaś‑Suska, P. Podolec, L. Tomkiewicz-Pajak
We present a case of cardiac concussion (commotio cordis) resulting from blunt chest trauma injury in a professional athlete. The soccer player received frontal injury to the chest caused by another player’s knee during a training session. A few minutes of spontaneously relapsing unconsciousness ensued and the patient was admitted urgently for observation. Surface electrocardiogram showed dynamic alterations in the precordial leads, cardiac necrotic markers were only mildly elevated and cardiac magnetic resonance could not detect any injury‐related pathology. The athlete received conservative treatment. We discuss the differential diagnosis with cardiac contusion and Brugada syndrome. Electrocardiographic abnormalities persisted during the two‐week follow‐up. The patient successfully continues his professional soccer career. JRCD 2017; 3 (5): 171–175
{"title":"Concussion of an athlete ́s heart – a case report of blunt chest trauma‐associated loss of consciousness in a professional soccer player (RCD code: V-4O)","authors":"P. Iwaszczuk, Felipe Haupenthal, Rogério da Silva Logrado Júnior, Monika Smaś‑Suska, P. Podolec, L. Tomkiewicz-Pajak","doi":"10.20418/JRCD.VOL3NO5.293","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO5.293","url":null,"abstract":"We present a case of cardiac concussion (commotio cordis) resulting from blunt chest trauma injury in a professional athlete. The soccer player received frontal injury to the chest caused by another player’s knee during a training session. A few minutes of spontaneously relapsing unconsciousness ensued and the patient was admitted urgently for observation. Surface electrocardiogram showed dynamic alterations in the precordial leads, cardiac necrotic markers were only mildly elevated and cardiac magnetic resonance could not detect any injury‐related pathology. The athlete received conservative treatment. We discuss the differential diagnosis with cardiac contusion and Brugada syndrome. Electrocardiographic abnormalities persisted during the two‐week follow‐up. The patient successfully continues his professional soccer career. JRCD 2017; 3 (5): 171–175","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"22 1","pages":"171"},"PeriodicalIF":0.0,"publicationDate":"2018-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83248487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-05DOI: 10.20418/JRCD.VOL3NO5.298
P. Matusik, A. Rydlewska, Joanna Pudło, J. Podolec, J. Lelakowski, P. Podolec
Clinical manifestation of Brugada syndrome (BrS) mainly results from polymorphic ventricular arrhythmias and includes sudden cardiac arrest (SCA). The Brugada sign, besides being present in true BrS, may result from different causes. Moreover, electrocardiogram findings in some clinical situations may resemble the BrS electrocardiographic pattern. Thus, differential diagnosis is crucial in the proper management of patients suspected of having BrS. Lifestyle modifications and close follow-up with or without pharmacologic treatment and/or implantable cardioverter-defibrillator placement constitute the most common approach to managing BrS patients. However, the role of ablation in BrS treatment is increasing. Due to diagnostic and therapeutic difficulties, the management of BrS is often challenging. This review provides new concepts and algorithms in the diagnostics and treatment of patients suspected of having BrS. JRCD 2017; 3 (5): 151–160
{"title":"Brugada syndrome: new concepts and algorithms in management (RCD code: V‐1A.1)","authors":"P. Matusik, A. Rydlewska, Joanna Pudło, J. Podolec, J. Lelakowski, P. Podolec","doi":"10.20418/JRCD.VOL3NO5.298","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO5.298","url":null,"abstract":"Clinical manifestation of Brugada syndrome (BrS) mainly results from polymorphic ventricular arrhythmias and includes sudden cardiac arrest (SCA). The Brugada sign, besides being present in true BrS, may result from different causes. Moreover, electrocardiogram findings in some clinical situations may resemble the BrS electrocardiographic pattern. Thus, differential diagnosis is crucial in the proper management of patients suspected of having BrS. Lifestyle modifications and close follow-up with or without pharmacologic treatment and/or implantable cardioverter-defibrillator placement constitute the most common approach to managing BrS patients. However, the role of ablation in BrS treatment is increasing. Due to diagnostic and therapeutic difficulties, the management of BrS is often challenging. This review provides new concepts and algorithms in the diagnostics and treatment of patients suspected of having BrS. JRCD 2017; 3 (5): 151–160","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"42 1","pages":"151"},"PeriodicalIF":0.0,"publicationDate":"2018-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88942651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-05DOI: 10.20418/JRCD.VOL3NO5.318
L. Tomkiewicz-Pajak
Congenital heart disease (CHD) is the most common developmental anomaly and is found in about 1% of all live-born children. Recent progress in cardiac surgery and pediatric cardiology has resulted in large numbers of adult patients who have undergone surgical correction of complex congenital heart defects. It is estimated that about 85% of newborns with heart defects will reach adulthood.
{"title":"Common problems in rare congenital heart diseases","authors":"L. Tomkiewicz-Pajak","doi":"10.20418/JRCD.VOL3NO5.318","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO5.318","url":null,"abstract":"Congenital heart disease (CHD) is the most common developmental anomaly and is found in about 1% of all live-born children. Recent progress in cardiac surgery and pediatric cardiology has resulted in large numbers of adult patients who have undergone surgical correction of complex congenital heart defects. It is estimated that about 85% of newborns with heart defects will reach adulthood.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"21 1","pages":"149"},"PeriodicalIF":0.0,"publicationDate":"2018-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84520604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-05DOI: 10.20418/JRCD.VOL3NO5.301
H. Tariq, U. Zahra
The anthracycline anticancer drug Doxorubicin (Adriamycin) is an effective and frequently used chemotherapeutic agent for various malignancies. The use of doxorubicin is limited by its major adverse effect, cardiotoxicity. Doxorubicin cardiomyopathy, once developed, carries a poor prognosis with a mortality rate of over 50%. Although invasive, histopathologic analysis of myocardial tissue remains the most sensitive and specific method of diagnosing doxorubicin cardiomyopathy. Histopathologic analysis reveals not only the characteristic diagnostic features of the disease but also aids in grading the severity of doxorubicin cardiomyopathy, which guides further therapy. We report the autopsy findings of a 31-year-old man with a history of T-cell Acute Lymphoblastic Leukemia (ALL) who died of severe doxorubicin induced dilated cardiomyopathy after he was given multiple rounds of hyperfractionated Cyclophosphamide, Vincristine, Adriamycin (doxorubicin) and Dexamethasone (hyper-CVAD) over a period of six years. JRCD 2017; 3 (5): 176–179
{"title":"Doxorubicin cardiomyopathy – case report and review of histopathologic findings (RCD code: III‐1B.5a)","authors":"H. Tariq, U. Zahra","doi":"10.20418/JRCD.VOL3NO5.301","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO5.301","url":null,"abstract":"The anthracycline anticancer drug Doxorubicin (Adriamycin) is an effective and frequently used chemotherapeutic agent for various malignancies. The use of doxorubicin is limited by its major adverse effect, cardiotoxicity. Doxorubicin cardiomyopathy, once developed, carries a poor prognosis with a mortality rate of over 50%. Although invasive, histopathologic analysis of myocardial tissue remains the most sensitive and specific method of diagnosing doxorubicin cardiomyopathy. Histopathologic analysis reveals not only the characteristic diagnostic features of the disease but also aids in grading the severity of doxorubicin cardiomyopathy, which guides further therapy. We report the autopsy findings of a 31-year-old man with a history of T-cell Acute Lymphoblastic Leukemia (ALL) who died of severe doxorubicin induced dilated cardiomyopathy after he was given multiple rounds of hyperfractionated Cyclophosphamide, Vincristine, Adriamycin (doxorubicin) and Dexamethasone (hyper-CVAD) over a period of six years. JRCD 2017; 3 (5): 176–179","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"7 1","pages":"176"},"PeriodicalIF":0.0,"publicationDate":"2018-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90489880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-05DOI: 10.20418/JRCD.VOL3NO5.312
E. Sawicka, K. Ptaszyńska-Kopczyńska, Anna Krentowska, A. Skoneczny, W. Musiał, B. Sobkowicz, K. Kamiński
Background : Pulmonary hypertension (PH) is a cardiovascular pathology leading to right-sided heart failure. A qualitative assessment of right ventricular (RV) function in echocardiography provides valuable information on a patient’s condition. The standard echocar- diographic parameter, assessed in PH patients, is RV free wall motion. Aim : To verify the utility of RV free wall motion assessment via echocardiography in PH patients. Methods : Data from 30 PH patients, regardless of aetiology (except for left heart disease), was retrospectively analyzed. Based on the RV free wall motion visual echocardiographic assessment the population was divided into: group 1- normokinetic; group 2- hypokinetic RV. All patients underwent a medical interview, physical examination, basic laboratory work-up, echocardiography, and right heart catheterization (RHC). Twenty-one patients underwent a cardiopulmonary exercise test (CPET). Results : The analysis revealed, that patients with RV free wall hypokinesis were characterized by impaired gas exchange parameters (higher values of ventilatory equivalents for oxygen and carbon dioxide, higher end-tidal oxygen pressures, lower end-tidal carbon dioxide pres- sures and higher minute ventilation – carbon dioxide production relation slope) and cardiovascular response to exercise (lower increase in O2 pulse during exercise) obtained in the CPET. RHC showed that patients with hypokinetic RV had higher diastolic and mean pul- monary artery pressures (dPAP, mPAP), lower cardiac index, and higher pulmonary vascular resistance. Conclusions : RV free wall motion abnormalities, assessed using echocardiography in PH patients, are found in those with more advanced disease. They are characterized by impaired ventilation in the CPET and more advanced haemodynamic abnormalities in RHC. The association between this parameter and prognosis requires validation in a larger population of patients. JRCD 2017; 3 (5): 161–167
{"title":"Right ventricular free wall motion abnormalities as a simple method of assessment in patients with pulmonary hypertension (RCD code: II‐1A.O)","authors":"E. Sawicka, K. Ptaszyńska-Kopczyńska, Anna Krentowska, A. Skoneczny, W. Musiał, B. Sobkowicz, K. Kamiński","doi":"10.20418/JRCD.VOL3NO5.312","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO5.312","url":null,"abstract":"Background : Pulmonary hypertension (PH) is a cardiovascular pathology leading to right-sided heart failure. A qualitative assessment of right ventricular (RV) function in echocardiography provides valuable information on a patient’s condition. The standard echocar- diographic parameter, assessed in PH patients, is RV free wall motion. Aim : To verify the utility of RV free wall motion assessment via echocardiography in PH patients. Methods : Data from 30 PH patients, regardless of aetiology (except for left heart disease), was retrospectively analyzed. Based on the RV free wall motion visual echocardiographic assessment the population was divided into: group 1- normokinetic; group 2- hypokinetic RV. All patients underwent a medical interview, physical examination, basic laboratory work-up, echocardiography, and right heart catheterization (RHC). Twenty-one patients underwent a cardiopulmonary exercise test (CPET). Results : The analysis revealed, that patients with RV free wall hypokinesis were characterized by impaired gas exchange parameters (higher values of ventilatory equivalents for oxygen and carbon dioxide, higher end-tidal oxygen pressures, lower end-tidal carbon dioxide pres- sures and higher minute ventilation – carbon dioxide production relation slope) and cardiovascular response to exercise (lower increase in O2 pulse during exercise) obtained in the CPET. RHC showed that patients with hypokinetic RV had higher diastolic and mean pul- monary artery pressures (dPAP, mPAP), lower cardiac index, and higher pulmonary vascular resistance. Conclusions : RV free wall motion abnormalities, assessed using echocardiography in PH patients, are found in those with more advanced disease. They are characterized by impaired ventilation in the CPET and more advanced haemodynamic abnormalities in RHC. The association between this parameter and prognosis requires validation in a larger population of patients. JRCD 2017; 3 (5): 161–167","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"18 1","pages":"161"},"PeriodicalIF":0.0,"publicationDate":"2018-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86937331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-17DOI: 10.20418/JRCD.VOL3NO4.286
S. Wiśniowska-Śmiałek, P. Rubis, K. Holcman, T. Myrdko, M. Kostkiewicz, M. Urbańczyk‑Zawadzka, B. Kapelak, P. Podolec
Cardiac tumors are quite rare, and differential diagnosis of them is challenging. We present the case report of a young man complaining on non specific chest pain who was reported to Cardiology Ward due to suspicion of thrombus in left ventricle. The patient's echocardiography showed an additional mobile structure located in apex of left ventricle. For further investigation he had a cardiac Magnetic Resonance Imaging (MRI) performed which drew out the suspicion of rather unmalignant tumor. Ultimately patient underwent noncomplicated cardiac surgery with total excision of the tumor. Histopatology examination reveald capillary hemangioma.
{"title":"Hemangioma of the left ventricle (RCD code: VI-1B.4)","authors":"S. Wiśniowska-Śmiałek, P. Rubis, K. Holcman, T. Myrdko, M. Kostkiewicz, M. Urbańczyk‑Zawadzka, B. Kapelak, P. Podolec","doi":"10.20418/JRCD.VOL3NO4.286","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO4.286","url":null,"abstract":"Cardiac tumors are quite rare, and differential diagnosis of them is challenging. We present the case report of a young man complaining on non specific chest pain who was reported to Cardiology Ward due to suspicion of thrombus in left ventricle. The patient's echocardiography showed an additional mobile structure located in apex of left ventricle. For further investigation he had a cardiac Magnetic Resonance Imaging (MRI) performed which drew out the suspicion of rather unmalignant tumor. Ultimately patient underwent noncomplicated cardiac surgery with total excision of the tumor. Histopatology examination reveald capillary hemangioma.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"53 1","pages":"133-136"},"PeriodicalIF":0.0,"publicationDate":"2017-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89106398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-16DOI: 10.20418/JRCD.VOL3NO4.289
B. Hussain, Fateh Ali Tipoo Sultan
Brucellosis, a zoonosis caused by gram negative bacillus Brucella, is characterized by a systemic illness with vague symptoms. Though, cardiac involvement with Brucella is reported mostly as endocarditis, the occurrence of exclusive Brucella constrictive pericarditis without endocardium involvement is extremely rare. We report a case of a young villager who presented with symptoms of low grade fever, dypnea and malaise with signs of right heart failure. He was diagnosed to have constrictive pericarditis on 2-D echocardiogram and the diagnosis was confirmed by cardiac magnetic resonance(CMR) imaging. A pericardiectomy was performed for the relief of pericardial constriction. The patient, however, continued to have low grade fever and lethargy. A workup for chronic infections revealed strongly positive titres for Brucella, indicating that the patient was suffering from systemic Brucellosis. The patient was treated with combination of antibiotics for six weeks and responded well to treatment. The case highlights the fact that Brucellosis has a wide array of clinical presentations and may present as an isolated exclusive constrictive pericarditis. The diagnosis of Brucellosis should always be considered in patients presenting with chronic fever with history of animal contact.
{"title":"A rare cardiac manifestation of Brucellosis (RCD code: VIII)","authors":"B. Hussain, Fateh Ali Tipoo Sultan","doi":"10.20418/JRCD.VOL3NO4.289","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO4.289","url":null,"abstract":"Brucellosis, a zoonosis caused by gram negative bacillus Brucella, is characterized by a systemic illness with vague symptoms. Though, cardiac involvement with Brucella is reported mostly as endocarditis, the occurrence of exclusive Brucella constrictive pericarditis without endocardium involvement is extremely rare. We report a case of a young villager who presented with symptoms of low grade fever, dypnea and malaise with signs of right heart failure. He was diagnosed to have constrictive pericarditis on 2-D echocardiogram and the diagnosis was confirmed by cardiac magnetic resonance(CMR) imaging. A pericardiectomy was performed for the relief of pericardial constriction. The patient, however, continued to have low grade fever and lethargy. A workup for chronic infections revealed strongly positive titres for Brucella, indicating that the patient was suffering from systemic Brucellosis. The patient was treated with combination of antibiotics for six weeks and responded well to treatment. The case highlights the fact that Brucellosis has a wide array of clinical presentations and may present as an isolated exclusive constrictive pericarditis. The diagnosis of Brucellosis should always be considered in patients presenting with chronic fever with history of animal contact.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"28 1","pages":"129-132"},"PeriodicalIF":0.0,"publicationDate":"2017-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84503059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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