Abstract
Viral pericarditis is the most common cause of acute pericarditis and it is typically responsive to aspirin or nonsteroidal anti-inflammatory drugs. Tuberculous pericarditis is common in immunocompromised patients or in immunocompetent patients in endemic areas. The diagnosis of tuberculous pericarditis usually requires a multidisciplinary approach, and presumptive treatment should be started for people with suspected infections living in endemic areas. Antituberculous treatment along with corticosteroid therapy can reduce complications from constrictive pericarditis. Purulent pericarditis is fatal if untreated. Bacterial and fungal cultures from pericardial fluid and blood are essential to determine the best treatment.
Keywords:
Bacterial pericarditis; Fungal pericarditis; Infectious pericarditis; Tuberculosis pericarditis; Viral pericarditis.
Copyright © 2017 Elsevier Inc. All rights reserved.
MeSH terms
-
Adrenal Cortex Hormones / therapeutic use*
-
Anti-Bacterial Agents / therapeutic use
-
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
-
Antifungal Agents / therapeutic use*
-
Antitubercular Agents / therapeutic use*
-
Aspirin / therapeutic use
-
Bacterial Infections / complications
-
Bacterial Infections / diagnosis
-
Bacterial Infections / therapy*
-
Disease Progression
-
Drainage
-
Dyspnea / etiology
-
Humans
-
Mycoses / complications
-
Mycoses / diagnosis
-
Mycoses / therapy*
-
Pericardial Effusion / etiology
-
Pericardiocentesis*
-
Pericarditis / complications
-
Pericarditis / diagnosis
-
Pericarditis / microbiology
-
Pericarditis / therapy
-
Pericarditis, Tuberculous / complications
-
Pericarditis, Tuberculous / diagnosis
-
Pericarditis, Tuberculous / therapy*
-
Virus Diseases / complications
-
Virus Diseases / diagnosis
-
Virus Diseases / therapy*
Substances
-
Adrenal Cortex Hormones
-
Anti-Bacterial Agents
-
Anti-Inflammatory Agents, Non-Steroidal
-
Antifungal Agents
-
Antitubercular Agents
-
Aspirin