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Frequency of Tuberculous Pericarditis in Patients with the Diagnosis of Pericarditis تاریخ ثبت : 1392/02/25
طبقه بندي :
Titel : Frequency of Tuberculous Pericarditis in Patients with the Diagnosis of Pericarditis
Author : F. Fallah., G. Eslami., H. Goudarzi., M. Eslami., S. Taheri., R. Nobahar., L. Gachkar. and A. Rostamzad
Journal : Iranian Journal of Clinical Infectious Diseases
Year : 2006
Volume : 1
Issue : 4
Pages : 195-197
Abstract :

Background:During the past decades the prevalence of tuberculosis (TB) has declined and its prognosis has changed dramatically due to chemotherapy; however, cases of tuberculous pericarditis are still reported worldwide.

Materials and methods:The study population included 19 men and 11women aged 12-76 years admitted to the hospital for acute pericardial disease. The diagnosis of tuberculous pericarditis was verified based on the adenosin deaminase activity (ADA), culture on Lowenstein-Jensen media, Ziehl Neelsen staining, biopsy of pericardial tissue and evaluation of tuberculin test.

Results:Of 30 patients, 13 (43.3%) had tuberculous pericarditis. All of whom had clinical TB manifestations. The culture of pericardial fluid in 6 patients (46%), staining in 3 (23%), and the culture of pericardial tissue in 6 patients (46%) were positive. The caseating granuloma w identified in 46% of cases. Ten case (77%) had positive PPD reaction. All tuberculous pericarditis patients had ADA level of >45U/l.

Conclusion:Results have revealed that measurement of ADA level may prove a good screening test for early diagnosis of tuberculous pericarditis.

 

Keywords : Pericarditis, Tuberculosis, Adenosine deaminase activity
تعداد نمایش : 553 <<بازگشت
 
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