结核感染继发的缩窄性心包炎:文献综述

Maria Isabel Gomez Coral
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摘要

结核性心包炎是由结核分枝杆菌引起的,占所有结核形式的1%。其流行程度因合并感染艾滋病毒而异。死亡率在17%到40%之间。与发展中国家相比,美国的患病率较低。本文旨在回顾有关结核性心包炎(TBP)的文献,其在美国的患病率,临床表现,诊断和治疗。最常见的临床表现是呼吸困难、发热、胸痛和咳嗽。暴露于结核病的高危患者应怀疑有TBP。诊断有多种实验室检查,其主要治疗方法是异烟肼、利福平、链霉素或乙胺丁醇三联治疗。如果持续升高的全身静脉压,手术干预是指。临床表现是可变的。
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Constrictive Pericarditis Secondary to Tuberculosis Infection: Literature Review
Tuberculous pericarditis is produced by Mycobacterium tuberculosis, accounting for 1% of all forms of tuberculosis. Its prevalence varies according to coinfection with HIV. Mortality varies between 17 and 40%. In the US, the prevalence is low compared to developing countries. This article aims to review the literature on pericarditis caused by tuberculosis (TBP), its prevalence in the US, clinical manifestations, diagnosis, and treatment. Among the most frequent clinical manifestations are dyspnea, fever, chest pain, and cough. TBP should be suspected in patients at high risk of exposure to tuberculosis. There are multiple lab tests for diagnosis, and its primary treatment is triple therapy with isoniazid, rifampin, and streptomycin or ethambutol. In case of persistent elevation of systemic venous pressure, surgical intervention is indicated. The clinical presentation was found to be variable.
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