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Case Reports
. 2020 Nov 27;5(1):67-72.
doi: 10.1016/j.case.2020.10.012. eCollection 2021 Feb.

Effusive-Constrictive Pericarditis due to Immune Reconstitution Inflammatory Syndrome following Tuberculous Pericarditis

Yllka Latifi  1 , Remo Gugelmann  1 , Johannes Rigger  2 , Benjamin Preiswerk  3 , Urs Eriksson  4 , Franz R Eberli  1 , Alain M Bernheim  1
Affiliations
Case Reports

Effusive-Constrictive Pericarditis due to Immune Reconstitution Inflammatory Syndrome following Tuberculous Pericarditis

Yllka Latifi et al. CASE (Phila). .
No abstract available

Keywords: Echocardiography; Immune reconstitution inflammatory syndrome; Tuberculous pericarditis.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Subcostal view showing a large, circumferential pericardial effusion (arrows).
Figure 2
Figure 2
Subcostal four-chamber (A), parasternal long-axis (B), parasternal short-axis (C), and apical four-chamber views (D) showing a thickened pericardial space due to a mainly organized pericardial effusion (arrows) that is predominantly located over the inferior and lateral left heart. In the apical four-chamber view, a left pleural effusion can additionally be seen (asterisk, D).
Figure 3
Figure 3
Pulsed-wave Doppler-derived mitral (A) and tricuspid (B) early inflow velocities (E) showing a respiratory variability with the mitral E decreasing with inspiration (A) and the tricuspid E increasing with inspiration (B), respectively. Peak E velocities on the first beat of inspiration and on the first beat of expiration are indicated (asterisk). Respirometer is shown at the bottom of panels A and B. Tissue Doppler images of the septal (C) and lateral (D) mitral anulus exhibit annulus reversus, i.e., smaller e′ values in the lateral compared with the septal mitral annulus. Exp, Expiration; insp, inspiration.
Figure 4
Figure 4
Computed tomography, axial view, showing increased pericardial thickness (arrows) without calcification.
Figure 5
Figure 5
Transthoracic echocardiography, oblique apical view, showing large left-sided pleural effusion (white arrows) and organized pericardial effusion (yellow double arrow). An atelectatic lung segment is visualized within the pleural effusion (asterisk).
Figure 6
Figure 6
Follow-up echocardiography showing almost complete resolution of pericardial thickening. (A) Subcostal four-chamber, (B) parasternal long-axis, (C) parasternal short-axis, and (D) apical four-chamber views.
Figure 7
Figure 7
Pulsed-wave Doppler derived mitral (A) and tricuspid (B) inflow velocities showing mild residual respiratory variability. Peak early inflow velocities (E) on the first beat of inspiration and on the first beat of expiration are indicated (asterisk). Tissue Doppler imaging of the septal (C) and lateral (D) mitral annulus exhibits a normalized pattern, with e′ values being higher in the lateral compared to the septal annulus. Exp, Expiration; insp, inspiration.
See this image and copyright information in PMC

References

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