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  • Title: Subacute tuberculous pericarditis with fibroelastic constriction diagnosed upon pericardiectomy.
    Author: Ryoke T, Kakukawa H, Kunichika H, Nishimura Y, Sakai H, Minami Y, Fujii T, Matsuzaki M.
    Journal: Jpn Circ J; 2000 May; 64(5):389-92. PubMed ID: 10834457.
    Abstract:
    A patient with subacute pericarditis showed no evidence suggesting tuberculosis until pericardiectomy was performed because of hemodynamic deterioration. The excised pericardium had a rubbery fibroelastic consistency; histologically, there were granulomatous changes characteristic of tuberculosis. Although tuberculous pericarditis is a difficult diagnosis, this case illustrates the diagnostic and therapeutic importance of early pericardiectomy before myocardial inflammatory infiltration occurs together with end-stage pericardial fibrosis and calcification.
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