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Successful Treatment of Recurrent Pericarditis With Rilonacept in Acute Promyelocytic Leukemia.
JACC Case Rep
November 2023
Center for Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
A 40-year-old woman presented with recurrent pericarditis and pericardial effusion while receiving treatment with all-trans retinoic acid and arsenic trioxide for recently diagnosed acute promyelocytic leukemia. She was successfully treated with the interleukin-1 inhibitor rilonacept after experiencing multiple recurrences with triple therapy with aspirin, colchicine, and steroids. ().
View Article and Find Full Text PDFStanford - A Aortic Dissection Presenting as a Triple Mimic and Role of Point of Care Ultrasound in Deciphering It.
J Emerg Trauma Shock
September 2021
Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Aortic dissection (AD) is a great imitator, and its diagnosis is quite challenging due to its varied presentations and unreliable clinical findings. Based on the literature search we found, this is the first case report of Stanford-A/DeBakey Type 1 AD reported as a triple mimic, namely stroke, acute limb ischemia, and pericarditis. Here, we describe the case of a 46-year-old male who presented to our emergency department with features suggestive of acute pericarditis, cerebrovascular accident, acute limb ischemia, which could have been attributed to athero-thrombo-embolic disease and AD could have been possibly missed.
View Article and Find Full Text PDFFatal myopericarditis complicated with coronary vein perforation under the triple antithrombotic therapy: a case report.
Eur Heart J Case Rep
April 2021
Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.
Background: Acute pericarditis generally follows a mild clinical course and is rarely fatal. Coronary vein involvement is rarely reported.
Case Summary: We report an autopsy case of cardiac tamponade from idiopathic myopericarditis due to coronary venous perforation under the triple antithrombotic therapy.
Recurrent disseminated in a female patient from Thailand with anti-interferon-gamma autoantibodies: dilemma on treatment approach.
BMJ Case Rep
January 2021
Pulmonary/Critical Care, University of South Florida College of Medicine, Tampa, Florida, USA
Anti-interferon-gamma (IFN-γ) autoantibodies has been recognised as an adult-onset immunodeficiency in the past decade in people who originate from Southeast Asia. These patients are susceptible to particular opportunistic infections, especially non-tuberculous mycobacteria (NTM). We present the case of a woman whom originally came from Thailand with disseminated complex infection (pleural, pericardium, bloodstream and lung parenchymal involvement).
View Article and Find Full Text PDFRoot-commando operation for multivalvular endocarditis and pericardiectomy.
Multimed Man Cardiothorac Surg
September 2020
This video tutorial presents the reconstruction of the intervalvular fibrosa and a triple valve replacement, due to prosthetic valve endocarditis, in a patient with previous chest irradiation and bicuspid aortic valve replacement. Constrictive pericarditis was also present since the original operation. A detailed step-by-step demonstration of the reconstruction of the intervalvular fibrosa and debridement of extensive prosthetic valve endocarditis with paravalvular root abscess are provided.
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