Pericardial effusion caused by viral pericarditis in a patient receiving peritoneal dialysis

Abstract Background Acute pericarditis causes acute inflammation of the pericardium. Although most cases are idiopathic with no identifiable cause, its etiology can be infectious, such as viral, bacterial, mycotic, and tuberculous infections, or non-infectious, including post-pericardiotomy, metastatic malignant tumor, connective tissue disease, uremia. However, there has been report caused by adenoviral infection in patients undergoing peritoneal dialysis (PD). Herein, we a case pericardial effusion patient PD. Case presentation A 59-year-old man who had PD our department for 3 years bout enteritis. He was later admitted to emergency hospital because malaise loss consciousness due effusion. Testing after admission revealed elevated adenovirus antibody titers. Pericardial improved although changes his prescription were made. The hospitalized maintain hemodynamics prevent hypotension. Since insufficient volume ruled out equilibrium tests assessment, kept under observation, made regarding method dialysis. C-reactive protein level both gradually declined, patient’s weight remained steady. titer alone increased 1:64 at approximately 2 weeks hospitalization. final diagnosis rather than uremia dialysis-associated pericarditis. Conclusions We treated rare viral (adenoviral) In addition testing usual causes, uremic must always receiving origin, treatment comprehensive.