Rapid Evolution of Cardiac Tamponade due to Bacterial Pericarditis in Two Patients With HIV-1 Infection

Karve, Milind; Murali, Mandakolathur R.; Shah, Hemant M.; Phelps, Kenneth R.

doi:10.1378/chest.101.5.1461

Cited by 39 publications

(8 citation statements)

References 17 publications

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“…Staphylococcus aureus pericarditis is a serious condition, and cardiac tamponade may develop rapidly. 19 Karve et al 20 reported pneumococcal pericarditis in 2 HIV patients, and both of them developed cardiac tamponade. Sunderam et al 21 studied a select group of 29 AIDS patients who had M tuberculosis.…”

Section: Pericardial Effusionmentioning

confidence: 99%

Cardiac Manifestations of Acquired Immunodeficiency Syndrome

Rerkpattanapipat

Wongpraparut²,

Jacobs³

et al. 2000

Arch Intern Med

166

146

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Acquired immunodeficiency syndrome is a serious problem worldwide. Recent advances in the knowledge about human immunodeficiency virus (HIV) replication and the treatment of HIV infection have improved survival in HIV patients. Because of the longer survival in HIV patients, the more manifestations of late-stage HIV infection will be seen, including HIV-related cardiac diseases. The common cardiac manifestations in patients with the acquired immunodeficiency virus are pericardial effusion, myocarditis, dilated cardiomyopathy, endocarditis, pulmonary hypertension, malignant neoplasms, and drug-related cardiotoxicity. This review focuses on these cardiac manifestations in patients with the acquired immunodeficiency syndrome.

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Section: Pericardial Effusionmentioning

confidence: 99%

Cardiac Manifestations of Acquired Immunodeficiency Syndrome

Rerkpattanapipat

Wongpraparut²,

Jacobs³

et al. 2000

Arch Intern Med

166

146

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“…Nevertheless, PE and tuberculosis could be simply two coexistent complications of HIV infection in advanced stages. Further causes of PE could be other infections [10,[19][20][21][22][23][24][25][26][27][28] and tumors such as lymphoma and Kaposi's sarcoma [8,10,[29][30][31],…”

Section: Pe In Hiv Patientsmentioning

confidence: 99%

Clinical and Echocardiographic Findings in HIV Patients with Pericardial Effusion

Moreno

Villacastin²,

Bueno

et al. 1997

Cardiology

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Background and Objectives: Pericardial effusion (PE) is frequently found in patients infected with the human immunodeficiency virus (HIV), but its clinical significance remains unclear. Our purpose was to study the manifestations of HIV-infected patients with PE and the coexistence of these manifestations with other echocardiographic abnormalities, compared with patients without PE. Methods: We reviewed 141 HIV-infected patients in whom echocardiographic study was performed. We studied their epidemiological, clinical, hematological, immunological, electrocardiographic (ECG) and echocardiographic characteristics and their in-hospital outcome. Results: Patients with PE (n = 55), compared with those without PE (n = 86), were more often clinical stage C and immunological stage 3, had left-ventricular dysfunction and right-ventricular dilatation more frequently, and had been diagnosed as HIV-positive for a longer time. Seven patients with moderate to severe PE developed cardiac tamponade. Compared with patients with small PE (n = 34), those with moderate to large PE (n = 21), had pericardial rub, ECG repolarization abnormalities consistent with pericarditis, immunological stage 3, left-ventricular dysfunction and right-ventricular dilatation more frequently. In 3 patients, cardiac tamponade disappeared after anti-tuberculous therapy; in 3 cases, pericardial drainage was performed (anti-tuberculous therapy was not attempted); 1 patient with cardiac tamponade was not drainaged because he was a terminal patient with an extensive lymphoma. Conclusions: PE in HIV-infected patients is associated with (1) advanced stages of infection, and (2) left-ventricular dysfunction and right-ventricular dilatation; (3) presence of pericardial rub and ECG alterations consistent with pericarditis suggests the existence of moderate to large PE.

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“…With the advent of antibiotics for widespread use in 1943, the condition became rare and was confined mainly to the elderly with serious co-morbidity. In more recent times, two cases of HIV-1 positive, female patients with TB who developed pneumococcal pericarditis have been reported in the United States [5]. Our case represents an additional example of purulent pneumococcal pericarditis in a patient with underlying HIV infection, although the latter could not be definitively proven.…”

Section: Discussionmentioning

confidence: 74%