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題 名 | Fibrinofibrous Pericarditis Mimicking a Pericardial Tumor=表現擬似腫瘤的纖維性心包膜炎 |
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作 者 | 林絹惠; 陳世杰; 吳美環; 李秉穎; 張重義; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 99:1 2000.01[民89.01] |
頁 次 | 頁59-61 |
分類號 | 415.3164 |
關鍵詞 | 纖維性心包膜炎; Tuberculous pericarditis; Infantile pericarditis; Echocardiography; Computed tomography; |
語 文 | 英文(English) |
英文摘要 | Primary pericardial disease is rare in children. The clinical features usually reflect limited venous return and cardiac output. Tuberculous pericarditis is the leading cause of pericardial disease in developing nations. A definitive diagnosis in children is frequently difficult and the manifestations are protean. We report a 10-month-old girl with fibrinofibrous pericarditis that manifested as constrictive pericarditis with prolonged fever, hepatomegaly, edema, and poor appetite. Echocardiography showed a solid mass that originated from the thickened pericardium and compressed the whole heart. In contrast, computed tomography revealed pericardial thickening with fluid collection. The symptoms and signs dramatically improved after surgical pericardiectomy. Pathologic analysis confirmed the diagnosis of tuberculous fibrinofibrous pericarditis. The patient received a 1-year course of antituberculosis therapy and has remained symptom free for 2 years. We suggest that a discrepancy between echocardiography and computed tomography (CT) findings might indicate a diagnosis of fibrinofibrous pericarditis. |
本系統中英文摘要資訊取自各篇刊載內容。