WordNet
- inflammation of the pericardium
PrepTutorEJDIC
- 結核（性）の・ゲッカコウ(月下香)(ヒガンバナ科の球根植物)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/04/29 12:39:47」(JST)
[Wiki en表示]
| Tuberculous pericarditis |
| Classification and external resources |
| MeSH |
D010495 |
Tuberculous pericarditis is a form of pericarditis.
Pericarditis caused by tuberculosis is difficult to diagnose, because definitive diagnosis requires culturing Mycobacterium tuberculosis from aspirated pericardial fluid or pericardial biopsy, which requires high technical skill and is often not diagnostic (the yield from culture is low even with optimum specimens). The Tygerberg scoring system helps the clinician to decide whether pericarditis is due to tuberculosis or whether it is due to another cause: night sweats (1 point), weight loss (1 point), fever (2 point), serum globulin > 40g/l (3 points), blood total leucocyte count <10 x 109/l (3 points); a total score of 6 or more is highly suggestive of tuberculous pericarditis.[1] Pericardial fluid with an interferon-γ level greater than 50pg/ml is highly specific for tuberculous pericarditis.
There are no randomized trials which evaluate the length of anti-tuberculosis treatment required for tuberculous pericarditis.[2] There is a small but not conclusive benefit for treatment with a schedule of steroids with anti-tuberculosis drugs. Open surgical drainage of fluid though effective in preventing cardiac tamponade was associated with more deaths.[3]
References
- ^ Reuter H, Burgess L, van Vuuren W, Doubell A. (2006). "Diagnosing tuberculous pericarditis". Q J Med 99 (12): 827–39. doi:10.1093/qjmed/hcl123. PMID 17121764.
- ^ Mayosi BM. (2002). "Interventions for treating tuberculous pericarditis". Cochrane Database of Systematic Reviews (4): CD000526. doi:10.1002/14651858.CD000526. PMID 12519546.
- ^ Mayosi BM. (2002). "Interventions for treating tuberculous pericarditis". Cochrane Database of Systematic Reviews (4): CD000526. doi:10.1002/14651858.CD000526. PMID 12519546.
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Gram-positive bacterial infection: Actinobacteria (primarily A00–A79, 001–041, 080–109)
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| Actinomycineae |
| Actinomycetaceae |
- Actinomyces israelii
- Actinomycosis
- Cutaneous actinomycosis
- Tropheryma whipplei
- Arcanobacterium haemolyticum
- Arcanobacterium haemolyticum infection
- Actinomyces gerencseriae
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| Propionibacteriaceae |
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| Corynebacterineae |
| Mycobacteriaceae |
M. tuberculosis/
M. bovis |
- Tuberculosis: Ghon focus/Ghon's complex
- Pott disease
- brain
- Tuberculous lymphadenitis
- Tuberculous cervical lymphadenitis
- cutaneous
- Scrofuloderma
- Erythema induratum
- Lupus vulgaris
- Prosector's wart
- Tuberculosis cutis orificialis
- Tuberculous cellulitis
- Tuberculous gumma
- Lichen scrofulosorum
- Tuberculid
- Papulonecrotic tuberculid
- Primary inoculation tuberculosis
- Miliary
- Tuberculous pericarditis
- Urogenital tuberculosis
- Multi-drug-resistant tuberculosis
- Extensively drug-resistant tuberculosis
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| M. leprae |
- Leprosy: Tuberculoid leprosy
- Borderline tuberculoid leprosy
- Borderline leprosy
- Borderline lepromatous leprosy
- Lepromatous leprosy
- Histoid leprosy
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| Nontuberculous |
| R1: |
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| R2: |
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| R3: |
- M. avium complex/Mycobacterium avium/Mycobacterium intracellulare/MAP
- M. ulcerans
- M. haemophilum
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| R4/RG: |
- M. fortuitum
- M. chelonae
- M. abscessus
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| Nocardiaceae |
- Nocardia asteroides/Nocardia brasiliensis
- Rhodococcus equi
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| Corynebacteriaceae |
- Corynebacterium diphtheriae
- Corynebacterium minutissimum
- Corynebacterium jeikeium
- Group JK corynebacterium sepsis
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| Bifidobacteriaceae |
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Index of bacterial disease
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| Description |
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| Disease |
- Gram-positive firmicutes
- Gram-positive actinobacteria
- Gram-negative proteobacteria
- Gram-negative non-proteobacteria
- Cholera
- Tuberculosis
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| Treatment |
- Antibiotics
- cell wall
- nucleic acid
- mycobacteria
- protein synthesis
- other
- Antibodies
- Vaccines
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Cardiovascular disease I00–I52, 390–429
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| Ischaemic |
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Coronary disease
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- Coronary artery disease (CAD)
- Coronary artery aneurysm
- Coronary artery dissection
- Coronary thrombosis
- Coronary vasospasm
- Myocardial bridge
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Active ischemia
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- Angina pectoris
- Prinzmetal's angina
- Stable angina
- Acute coronary syndrome
- Myocardial infarction
- Unstable angina
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Sequelae
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- hours
- Hibernating myocardium
- Myocardial stunning
- days
- weeks
- Aneurysm of heart / Ventricular aneurysm
- Dressler syndrome
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| Layers |
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Pericardium
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- Pericarditis
- Acute
- Chronic / Constrictive
- Pericardial effusion
- Cardiac tamponade
- Hemopericardium
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Myocardium
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- Myocarditis
- Cardiomyopathy: Dilated (Alcoholic), Hypertrophic, and Restrictive
- Loeffler endocarditis
- Cardiac amyloidosis
- Endocardial fibroelastosis
- Arrhythmogenic right ventricular dysplasia
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Endocardium /
valves
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Endocarditis
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- infective endocarditis
- Subacute bacterial endocarditis
- non-infective endocarditis
- Libman–Sacks endocarditis
- Nonbacterial thrombotic endocarditis
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Valves
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- mitral
- regurgitation
- prolapse
- stenosis
- aortic
- tricuspid
- pulmonary
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Conduction /
arrhythmia |
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Bradycardia
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- Sinus bradycardia
- Sick sinus syndrome
- Heart block: Sinoatrial
- AV
- Intraventricular
- Bundle branch block
- Right
- Left
- Left anterior fascicle
- Left posterior fascicle
- Bifascicular
- Trifascicular
- Adams–Stokes syndrome
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Tachycardia
(paroxysmal and sinus)
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Supraventricular
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- Atrial
- Junctional
- AV nodal reentrant
- Junctional ectopic
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Ventricular
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- Accelerated idioventricular rhythm
- Catecholaminergic polymorphic
- Torsades de pointes
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Premature contraction
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- Atrial
- Junctional
- Ventricular
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Pre-excitation syndrome
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- Lown–Ganong–Levine
- Wolff–Parkinson–White
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Flutter / fibrillation
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- Atrial flutter
- Ventricular flutter
- Atrial fibrillation
- Ventricular fibrillation
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Pacemaker
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- Ectopic pacemaker / Ectopic beat
- Multifocal atrial tachycardia
- Pacemaker syndrome
- Parasystole
- Wandering pacemaker
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Long QT syndrome
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- Andersen–Tawil
- Jervell and Lange-Nielsen
- Romano–Ward
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Cardiac arrest
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- Sudden cardiac death
- Asystole
- Pulseless electrical activity
- Sinoatrial arrest
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Other / ungrouped
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- hexaxial reference system
- Right axis deviation
- Left axis deviation
- QT
- T
- ST
- Osborn wave
- ST elevation
- ST depression
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| Cardiomegaly |
- Ventricular hypertrophy
- Left
- Right / Cor pulmonale
- Atrial enlargement
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| Other |
- Cardiac fibrosis
- Heart failure
- Diastolic heart failure
- Cardiac asthma
- Rheumatic fever
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Index of the heart
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| Description |
- Anatomy
- Physiology
- Development
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| Disease |
- Injury
- Congenital
- Neoplasms and cancer
- Other
- Symptoms and signs
- Blood tests
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| Treatment |
- Procedures
- Drugs
- glycosides
- other stimulants
- antiarrhythmics
- vasodilators
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UpToDate Contents
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- 1. 結核性心膜炎 tuberculous pericarditis
- 2. 最新の診療アップデート practice changing updates
- 3. 心嚢液貯留の診断および治療 diagnosis and treatment of pericardial effusion
- 4. 収縮性心膜炎 constrictive pericarditis
- 5. 心膜疾患の病因 etiology of pericardial disease
English Journal
- Rare images of tuberculous pericarditis causing constrictive pericarditis.
- Tanyeli O, Dereli Y, Gormus N.SourceMeram Medicine Faculty, Department of Cardiovascular Surgery, Necmettin Erbakan University, Meram, Konya, Turkey.
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.Eur J Cardiothorac Surg.2013 May 17. [Epub ahead of print]
- PMID 23686502
- Pericardial syndromes: an update after the ESC guidelines 2004.
- Seferović PM, Ristić AD, Maksimović R, Simeunović DS, Milinković I, Seferović Mitrović JP, Kanjuh V, Pankuweit S, Maisch B.SourceDepartment of Cardiology, Clinical Center of Serbia and Belgrade University School of Medicine, Koste Todorovića 8, 11000, Belgrade, Serbia, seferovic@med.bg.ac.rs.
- Heart failure reviews.Heart Fail Rev.2013 May;18(3):255-66. doi: 10.1007/s10741-012-9335-x.
- Despite a myriad of causes, pericardial diseases present in few clinical syndromes. Acute pericarditis should be differentiated from aortic dissection, myocardial infarction, pneumonia/pleuritis, pulmonary embolism, pneumothorax, costochondritis, gastroesophageal reflux/neoplasm, and herpes zoster.
- PMID 22855353
Japanese Journal
- Video-Assisted Thoracoscopic Pericardial Window in the Treatment of Pericardial Effusion: Report of Two Cases
- Miyazaki Takuro,Yamasaki Naoya,Tsuchiya Tomoshi,Matsumoto Keitaro,Sengyoku Hideyori,Watanabe Hironosuke,Tomoshige Koichi,Nagayasu Takeshi
- Acta medica Nagasakiensia 57(3), 105-107, 2013-02
- … A 54-year-old man had a history of subxiphoid pericardial window due to suspected tuberculous effusions. … An 85-year-old woman had a history of percutaneous pericardiocentesis and pleurocentesis due to chronic pericarditis. …
- NAID 110009552112
Related Links
- Abstract Background— The incidence of tuberculous pericarditis is increasing in Africa as a result of the human immunodeficiency virus (HIV) epidemic. The primary objective of this article was to review and summarize ...
- Tuberculous pericarditis is an important complication of tuberculosis (TB); the diagnosis can be difficult to establish and is often delayed or missed, resulting in late complications such as constrictive pericarditis and increased ... ...
Related Pictures
★リンクテーブル★
[★]
- 英
- tuberculous pericarditis
- 関
- 結核性心外膜炎、心膜水腫
[★]
- 英
- tuberculous pericarditis
- 関
- 結核性心膜炎
[★]
- 関
- TB、tuberculosis