Pericardial Effusion - Melioidosis or Tuberculosis

Abstract

Melioidosis which is endemic in South East Asia and Northern Australia is now being reported from the Indian subcontinents as well. Meliodosis rarely presents as pericardial effusion. We report a case of B. pseudomallei causing pericardial effusion from India, where the most common infective cause of pericardial effusion is Mycobacterium tuberculosis. The chronic presentation of melioidosis is not unlike tuberculosis, and the clinician must have a high index of suspicion to diagnose meliodosis, especially in geographical areas where both tuberculosis and melioidosis are prevalent.DOI: http://dx.doi.org/10.3329/jom.v13i2.9368 J Medicine 2012; 13 : 230-232

Melioidosis and the Heart: A Systematic Review

“…15 articles, with a total of 29 patients were excluded due to insufficient clinical information (n = 12) [ 1 , 3 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ] or no report of microbiological diagnosis (n = 3) [ 21 , 22 , 23 ]. A total of 31 articles [ 5 , 10 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ] with 41 patients met the inclusion criteria of this systematic review. We did not exclude articles based on language, although only English-language articles were identified by our search strategy.…”

“…There were 49 patients with pericardial involvement reported in the literature [ 3 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 50 , 51 , 52 , 53 ], with sufficient information for study inclusion obtained to include 32 patients (78.0%) [ 10 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 50 , 51 , 52 , 53 …”