Corticosteroid Injectins For Pericarditis

A case of corticosteroid-dependent recurrent pericarditis with different response to two IL-1 blocking agents

Introduction Recurrent pericarditis (RP) has a controversial pathogenesis that crosses infectious, auto-immune and auto-inflammatory pathways. It has been suggested that in some cases it might be an unrecognized auto-inflammatory disease. Recent studies have demonstrated that anakinra, an interleukin-1 receptor antagonist (IL-1RA), represents an effective treatment for the control of corticoste...

Melioidosis pericarditis mimicking tuberculous pericarditis.

Cases of melioidosis (N = 2) and tuberculous pericarditis (N = 33) during 1996-2006 were reviewed. Clinical presentations were similar, but pericardial pathological findings were not. Nine of 12 patients with melioidosis required pericardectomy. In areas where these diseases are endemic, pericardial fluid culture and pericardial biopsy can differentiate between melioidosis and tuberculosis.

Immunotherapy for tuberculous pericarditis.

Pericardial tuberculosis is an important clinical problem in resource-limited countries, particularly in those with concomitant epidemics of human immunodeficiency virus (HIV) infection. Tuberculosis involving closed anatomical spaces such as the pericardium or meninges can cause devastating inflammatory injury, and management with antimicrobial therapy alone may not prevent complications. Host...

Pericardiectomy for constrictive pericarditis.

Pericardiectomy is well recognized as a logical and rewarding form of treatment for constrictive pericarditis. The historical background of the operation has been fully described by Sellors (1946) and it is not felt that the series of cases to be presented here has anything to add to the clinical picture of constrictive pericarditis so fully described by Evans and Jackson (1952). There are cert...

Progressive Constrictive Pericarditis Shortly after Purulent Pericarditis