TUBERCULOSIS PLEURO-PERICARDITIS: SO MUCH FIBRIN! CASE REPORT

  • Cristina GRIGORESCU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Mariana FLORIA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Ileana ANTOHE “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • V. AFRASANIE “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Genoveva Livia BAROI “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • V, SCRIPCARIU “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Abstract

A young man with thoracic pain and progressive dyspnea was hospitalized for a pleuro-pericarditis. Ultrasonography confirmed the presence of left pleural and pericardial effusion with a high amount of fibrin. With exudative characters and without macroscopic appearance of empyema, the left pleural effusion has reoccurred two days later during the diagnosis period. Bacteriological exams were repetitively negative. A malign etiology was excluded as no atypical cells in the pleural fluid were found. Adenosine deaminase level was not helpful for the diagnosis. The diagnosis was established through video assisted thoracoscopy pleural biopsy which identified pleural granulomas. This case illustrates the difficulty of a pleuro-pericarditis tuberculosis diagnosis.

Author Biographies

Cristina GRIGORESCU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Cardiothoracic Surgery Hospital Iasi

Mariana FLORIA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
“Sf. Spiridon” County Clinical Emergency Hospital Iasi

Ileana ANTOHE, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
“Sf. Spiridon” County Clinical Emergency Hospital Iasi

V. AFRASANIE, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Regional Oncology Institute Iasi

Genoveva Livia BAROI, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
“Sf. Spiridon” County Clinical Emergency Hospital Iasi

V, SCRIPCARIU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Regional Oncology Institute Iasi

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Published
2018-06-30
Section
INTERNAL MEDICINE - PEDIATRICS