Etiologías del derrame pericárdico severo

Arango-Moreno, Ricardo; Múnera-Echeverri, Ana G; Gaviria-Aguilar, María Clara; Mejía-Zuluaga, Mateo; Duque-González, Laura; Duque-Ramírez, Mauricio

doi:10.35366/95586

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…A study from Colombia reported hypertension (41%), followed by malignancy (31%), chronic kidney disease (20%), and heart failure (16%) as the most observed comorbidities. 18 …”

Section: Discussionmentioning

confidence: 99%

Epidemiological characteristics, etiological spectrum, and outcomes of adult patients with pericardial effusion at a Teaching Hospital in Somalia

Farah Yusuf Mohamud,

Abdi,

Uzel

et al. 2024

Therapeutic Advances in Chronic Disease

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Background: Pericardial effusion (PE) is an abnormal fluid volume in the pericardial space and is a common clinical entity. The incidence of PE is estimated diversely and depends on risk factors, etiologies, and geographic locations. Objectives: This study aimed to assess the clinical characteristics, etiologic spectrum, echocardiographic features, and outcomes among patients with different types of PE. Method: This retrospective observational study included 93 patients with confirmed PE. Their medical records were reviewed in the hospital information system of Mogadishu Somali Turkish Training and Research Hospital between April 2022 and September 2022. Patient demographics, clinical characteristics, chest X-rays, echocardiography, laboratory findings, management approaches, and outcome reports were reviewed and recorded. Results: Out of the 3000 participants, 3.1% ( n = 93/3000) met the definition of definitive PE. In this study, we included 51 females and 42 males. Among the patients, 86% ( n = 80) had at least one comorbidity, with diabetes (38.7%) and hypertension (37.6%) being the most common. The most frequently reported clinical presentation findings were shortness of breath (67.7%), chest pain (49.4%), cough (47.3%), and palpitations (47.3%). Cardiac tamponade developed in 9.7% ( n = 9) of the patients. Pericardial taps were performed in 64.5% of the cases. Our analysis showed that the most common cause of PE was cardiac disease ( n = 33, 35.4%), followed by tuberculosis (TB) ( n = 25, 26.8%), uremic pericarditis ( n = 24, 25.8%), and hypothyroidism ( n = 10, 10.7%). Regarding the severity of PE based on echocardiographic findings, nearly half of the patients ( n = 46, 49.4%) had mild PE, whereas 26.8% ( n = 25) had moderate PE, and 23.6% ( n = 22) had severe PE. Two-thirds of the cases (66.6%) were managed with furosemide, 48 (51.6%) patients were treated with an anti-inflammatory, hemodialysis was performed in 24 (25.8%) patients and antituberculous medications were administered to 7 (7.5%) patients. Out of the 93 patients, 24 (25.8%) died during the hospital stay. It was determined that the mortality risk of patients with renal failure was 7.518 times higher than those without ( p = 0.004), and the risk for those with TB was 5.554 times higher than those without ( p = 0.011). Other variables were not influential on mortality ( p > 0.050). Conclusion: Our study results demonstrate the epidemiological profile of PE in Somalia. The leading causes of PE were cardiac diseases, uremic pericarditis, TB, and hypothyroidism. PE is a significant cause of morbidity and mortality in Somalia, especially in individuals with renal failure and TB infection.

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“…A study from Colombia reported hypertension (41%), followed by malignancy (31%), chronic kidney disease (20%), and heart failure (16%) as the most observed comorbidities. 18 …”

Section: Discussionmentioning

confidence: 99%

Epidemiological characteristics, etiological spectrum, and outcomes of adult patients with pericardial effusion at a Teaching Hospital in Somalia

Farah Yusuf Mohamud,

Abdi,

Uzel

et al. 2024

Therapeutic Advances in Chronic Disease

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“…Akumulasi cairan ini pada anak-anak memiliki etiologi yang bervariasi, bahkan pada studi Moreno, et al 2020 menyebutkan adanya perbedaan etiologi efusi perikard pada negara maju dan berkembang. Umumnya penyebab utama efusi perikard bersifat idiopatik atau yang disebabkan oleh kanker, namun pada negara berkembang etiologi infeksi terutama infeksi tuberculosis yang berperan dalam lebih dari setengah kasus (Arango-Moreno et al, 2020). Hal serupa ditemukan pada kejadian efusi pleura bilateral, dimana efusi pleura merupakan adanya akumulasi b a cairan berlebih pada kantung pleura (Afsharpaiman et al, 2016).…”

Section: Diskusi Kasusunclassified

Infeksi Multipel Organ Tuberkulosis Ekstrapulmonal pada Anak yang disertai Malnutrisi Tipe Marasmus

Rizky,

Sari

2023

JKU

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Mycobacterium tuberculosis infection in organs outside the lungs is a case that occurs quite often, especially in children, one example is TB pleurisy and TB pericarditis which can cause complications in the form of cardiac tamponade, shock and death. Mtb infection in children generally shows non-specific symptoms, and can even show negative bacteriological results. This case will be described regarding Mtb infection in a 16-year-old girl who was clinically diagnosed with pericardial effusion, bilateral pleural effusion, impending cardiac tamponade et causa pericarditis. Malnutrition was also found in this child which could be a risk factor for infection.

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Etiologías del derrame pericárdico severo

Cited by 2 publications

References 17 publications

Epidemiological characteristics, etiological spectrum, and outcomes of adult patients with pericardial effusion at a Teaching Hospital in Somalia

Epidemiological characteristics, etiological spectrum, and outcomes of adult patients with pericardial effusion at a Teaching Hospital in Somalia

Infeksi Multipel Organ Tuberkulosis Ekstrapulmonal pada Anak yang disertai Malnutrisi Tipe Marasmus

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