308 results match your criteria: "Pericarditis Uremic"
[Uremic pericarditis in a not-so-terminal chronic kidney disease].
Rev Med Suisse
November 2024
Service de médecine interne, Réseau de l'arc, Hôpital de Moutier, 2740 Moutier.
Article Synopsis
- - A 90-year-old patient with stage G4 chronic kidney disease developed pneumonia and congestive heart failure, but his condition worsened despite treatment with levofloxacin and furosemide.
- - A CT scan showed pericardial effusion, suggesting uremic pericarditis, which is often seen in end-stage renal disease due to the buildup of toxins.
- - Initiating daily hemodialysis led to major improvement, highlighting the importance of early diagnosis and treatment to prevent complications in patients with kidney issues.
Uremic Pericarditis and Cardiac Tamponade Resolving With Intensive Hemodialysis.
J Community Hosp Intern Med Perspect
March 2024
Cardiology, MedStar Franklin Square Medical Center, Baltimore, MD, USA.
We present an interesting and complex case of cardiac tamponade due to uremic pericarditis (UP), resolving with intensive hemodialysis (HD). HD should be considered as first line management for patients with UP and pericardial effusion. Intensification of HD should be considered based on clinical presentation and severity of presentation.
View Article and Find Full Text PDFEpidemiological characteristics, etiological spectrum, and outcomes of adult patients with pericardial effusion at a Teaching Hospital in Somalia.
Ther Adv Chronic Dis
January 2024
Department of Peadiatric & Child Health, Faculty of Medicine and Surgery, Mogadishu University, Mogadishu, Somalia.
Article Synopsis
- Pericardial effusion (PE) is an abnormal accumulation of fluid in the pericardial space, with diverse incidence rates influenced by various factors, as highlighted in a study of 93 patients from Mogadishu Somali Turkish Training and Research Hospital.
- The study aimed to analyze the clinical features, causes, echocardiographic characteristics, and outcomes of patients suffering from PE, noting that 86% of them had at least one comorbidity.
- Key findings revealed that cardiac disease was the most frequent cause of PE, symptoms included shortness of breath and chest pain, and the majority of patients were treated with medications like furosemide and anti-inflammatories.
Echocardiographic manifestations in end-stage renal disease.
Heart Fail Rev
March 2024
Department of Cardiology, Osaka Medical and Pharmaceutical University, 2-7, Daigaku-Machi, Takatsuki, Osaka, 569-8686, Japan.
End-stage renal disease (ESRD) is a common but profound clinical condition, and it is associated with extremely increased morbidity and mortality. ESRD can represent four major echocardiographic findings-myocardial hypertrophy, heart failure, valvular calcification, and pericardial effusion. Multiple factors interplay leading to these abnormalities, including pressure/volume overload, oxidative stress, and neurohormonal imbalances.
View Article and Find Full Text PDFUremic Pericarditis with Cardiac Tamponade in a Patient on Hemodialysis.
Case Rep Cardiol
November 2023
Department of Pulmonology and Critical Care, BronxCare Health System, Bronx, New York, USA.
Uremic pericardial effusion and pericarditis in end-stage kidney disease patients remain one of the causes responsible for high rates of morbidity and occasional mortality. While clinical presentation could be variable, clinicians should have a high index of suspicion for uremic pericarditis especially in patients who miss their dialysis sessions. We present a 77-year-old man with end-stage renal disease on dialysis diagnosed with pericarditis and large pericardial effusion complicated by cardiac tamponade and shock.
View Article and Find Full Text PDFWhen should pharmacologic therapies be used for uremic pericarditis?
Cleve Clin J Med
September 2023
Director, Center for the Diagnosis and Treatment of Pericardial Diseases, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH; Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
Heparin is a preferred initial anticoagulant in patients with new-onset atrial fibrillation (AF). Despite continuous debate about the risk, there has been a concern about heparin-induced hemorrhagic pericarditis and cardiac tamponade. We present a case of a new onset atrial fibrillation (AF) in a patient with renal impairment and evidence of pericardial effusion complicated by hemopericardium development after starting anticoagulation.
View Article and Find Full Text PDFTumor Lysis Syndrome Rare Presentation As Uremic Pericarditis: A Case Report.
Cureus
March 2023
Internal Medicine Department/Internal Medicine, Centro Hospitalar Universitário do Algarve - Hospital de Faro, Faro, PRT.
Article Synopsis
- - Tumor lysis syndrome (TLS) is a serious condition that can arise after cancer treatment, leading to the rapid breakdown of cancer cells and the release of harmful substances into the bloodstream, causing severe metabolic imbalances like high potassium and uric acid levels.
- - A 63-year-old man with a history of colorectal cancer developed TLS after chemotherapy, presenting with chest pain and signs of acute kidney injury, but without myocardial injury markers, showcasing the syndrome's complex presentation.
- - The standard treatment for TLS involves hydration and drugs to lower uric acid, with rasburicase being the preferred option; however, the patient was treated with allopurinol since rasburicase was unavailable, and his condition improved over
A Rare Case of MRSA Pericarditis with Expanding, Purulent Pericardial Effusion Leading to Uremic Kidney Failure from a Right, Necrotic Toe.
Case Rep Cardiol
October 2022
Johns Hopkins Hospital, Baltimore, MD, USA.
Article Synopsis
- Purulent pericarditis is a rare but serious condition that can lead to high mortality if not diagnosed quickly, as illustrated by a case involving a 76-year-old man with multiple health issues, including coronary artery disease and chronic kidney disease.
- The patient presented with pleuritic chest pain and shortness of breath, initially stable, but worsened over several days, showing signs of cardiac tamponade, such as elevated jugular venous pressure and pericardial friction rub.
- Diagnostic tests, including an EKG and echocardiogram, revealed a moderate-sized pericardial effusion and, after blood cultures indicated the presence of MRSA, he was treated with intravenous vancomycin while the differential
Two concomitant thrombotic microangiopathies in the background of systemic lupus erythematosus: A case report.
Ann Med Surg (Lond)
September 2022
Department of Pediatrics, Saudi German Hospital, Jeddah, Saudi Arabia.
Article Synopsis
- Lupus nephritis is a serious condition that can lead to renal damage and failure, often requiring a multi-disciplinary team (MDT) approach due to its complex nature.
- A case study was presented involving a 13-year-old girl who experienced severe symptoms, including fever, joint pain, and convulsions, which led to a confirmed diagnosis of lupus nephritis.
- Successful treatment relied on a combination of therapies and adaptability in response to the patient’s fluctuating condition, highlighted by the effective use of plasma exchange that significantly reduced fragmented red blood cells.
Ischemic Hepatitis Induced by Uremic Cardiac Tamponade in a Patient with Underlying Hepatitis C with a Review of the Literature.
Case Rep Gastroenterol
May 2022
Department of Nephrology, Al Assad University hospital, Damascus University- Faculty of medicine, Damascus, Syrian Arab Republic.
Article Synopsis
- A 30-year-old patient with a history of hepatitis C and on hemodialysis for kidney rejection experienced symptoms of orthopnea and had multiple health complications, including pericardial effusion.
- Following treatment for urinary tract infection and adjustments in hemodialysis, the patient developed cardiac tamponade, leading to severe liver injury, which eventually improved after 10 days.
Acute pericarditis after COVID 19 in a peritoneal dialysis patient.
CEN Case Rep
November 2022
Department of Nephrology and Renal Transplantation, Centro Hospitalar Universitário de Lisboa Norte, Av. Prof. Egas Moniz MB, 1649-028, Lisbon, Portugal.
Article Synopsis
- * A case study highlighted a 54-year-old man with end-stage kidney disease who developed acute pericarditis a month after contracting COVID-19, presenting with significant chest pain and ST segment elevation on his ECG.
- * While pericarditis often has undetermined causes, this case suggests that COVID-19 may be an underrecognized contributor, especially in patients with other health issues, such as those on dialysis.
Predisposing factors and uremic pericardial effusion among ESRD patients undergoing dialysis.
Ann Med Surg (Lond)
May 2022
Department of Anesthesiology and Intensive Care, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
Article Synopsis
- - The study investigates the prevalence of pericardial effusion and its risk factors in end-stage renal disease (ESRD) patients undergoing long-term dialysis, highlighting its importance due to associated complications like tamponade and heart failure.
- - Out of 132 patients studied, 12.9% had mild pericardial effusion, and factors like gender and age showed no significant differences among those affected.
- - The findings suggest that echocardiography can be a valuable and cost-effective tool for evaluating dialysis effectiveness in these patients, indicating a need for further research into related laboratory parameters.
Article Synopsis
- Pericardial effusions and uremic pericarditis, linked to kidney disease since 1836, have become less common, leading to inconsistent management practices.
- A case study of a 61-year-old woman with a large pericardial effusion before kidney transplantation is presented, alongside a review of 44 similar cases from a renal center over 8 years.
- The study found that pericardial interventions were often necessary due to potential hemodynamic issues, but aspiration had limited diagnostic value, suggesting it should only be used when absolutely necessary.
Hemolytic uremic syndrome related to Shiga-like toxin-producing Escherichia coli with encephalitis hiding a human herpesvirus-6 infection: a case report.
J Med Case Rep
May 2021
Department of Neonatal Medicine and Pediatric Intensive Care, Arnaud de Villeneuve Hospital, Montpellier University Hospital Center, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.
Article Synopsis
- This case study discusses a rare instance of cardiac and neurological complications in a 27-month-old girl diagnosed with hemolytic uremic syndrome caused by Shiga-like toxin-producing Escherichia coli, presenting symptoms like diarrhea and seizures.
- The girl experienced severe neurological impairment and developed pericardial effusion, which is a rare complication in this syndrome.
- An analysis of the effusion revealed the presence of human herpesvirus-6B, indicating a primary infection that complicated her condition, highlighting the need for further investigation in similar cases.
Hemorrhagic pericardial tamponade in a peritoneal dialysis patient.
J Chin Med Assoc
July 2021
School of Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan, ROC.
Article Synopsis
- * A case study highlighted a patient who was nonadherent to his dialysis regimen, presenting with hypotension and syncope; ultrasound revealed severe blood in the pericardial cavity, necessitating a pericardial window procedure to drain the effusion.
- * Post-procedure, the patient's condition significantly improved, underscoring the importance of early diagnosis, timely surgical intervention, and ongoing monitoring through echocardiography to enhance outcomes for
Hemodialysis Emergencies: Core Curriculum 2021.
Am J Kidney Dis
May 2021
MedStar Georgetown University Hospital, Washington, DC. Electronic address:
Article Synopsis
- Hemodialysis (HD) has been a standard treatment for kidney failure in the US since 1962, leading to a significant increase in patients requiring this therapy.
- Modern HD techniques are generally safe due to advanced machines, water treatment systems, and strict monitoring protocols, although serious complications can still occur.
- The text reviews the causes, management, and prevention of nine potential HD emergencies, including issues like dialyzer reactions and vascular access hemorrhage, emphasizing the nephrologist's role in addressing these complications.
Uremic- and Dialysis-Associated Pericarditis.
Cardiol Rev
December 2021
Department of Medicine, Geisinger Commonwealth School of Medicine, Scranton, PA.
Article Synopsis
- - Uremic pericarditis is inflammation of the pericardium caused by toxins and immune complexes in patients with kidney disease.
- - Symptoms can resemble those of acute coronary syndrome, and EKG results may also be similar, leading to potential misdiagnosis.
- - Treatment requires collaboration among internists, cardiologists, and nephrologists, with dialysis remaining the primary method of management.
Cardiovascular Complications of Hemolytic Uremic Syndrome in Children.
Maedica (Bucur)
September 2020
Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Article Synopsis
- Hemolytic uremic syndrome (HUS) is a leading cause of acute kidney failure in children, often post-gastrointestinal infections, characterized by renal failure, anemia, and low platelet levels, with cardiac issues frequently complicating the condition.
- The study aimed to assess cardiovascular complications in children with HUS, identify diagnostic tools, and determine effective treatment protocols to manage these heart-related issues.
- Research was conducted on 50 children aged 5 to 40 months, revealing conditions like hypertension, heart failure, and significant echocardiography findings such as left ventricular hypertrophy and diastolic dysfunction, with many patients responding well to ACE inhibitors.
Methicillin-Resistant Staphylococcus aureus (MRSA)-Positive Pericardial Abscess Presenting in a Hemodialysis Patient.
Cureus
September 2020
Internal Medicine, University of Baghdad Al-Kindy College of Medicine, Baghdad, IRQ.
Article Synopsis
- * Patients on dialysis are at a higher risk for developing this condition, particularly due to infections that spread through the bloodstream.
- * The case presented involves a male patient with end-stage renal disease who developed a pericardial abscess from a methicillin-resistant Staphylococcus aureus (MRSA) infection, following two previous episodes of uremic pericarditis.
Point-of-care ultrasound in Management for Dyspneic Uremic Patients: a case report.
BMC Nephrol
December 2019
Department of Emergency Medicine, National Taiwan University Hospital and College of Medicine, National Taiwan University, |No.7, Chung-Shan South Road, Taipei, 100, Taiwan.
Article Synopsis
- Point-of-Care Ultrasound (PoCUS) enhances patient care by facilitating quicker diagnoses of conditions like dyspnea in uremic patients, allowing clinicians to assess lung, heart, and inferior vena cava functions simultaneously.* -
- A case involving a 67-year-old woman with shortness of breath and fluid retention revealed significant kidney issues and pericardial effusion, which were identified using PoCUS, leading to a diagnosis of uremic pericarditis.* -
- The study concludes that using PoCUS is a valuable, noninvasive tool in emergency settings for uremic patients, helping doctors make better decisions by refining potential diagnoses during evaluations.*
The Acute Dialysis Orders Objective Structured Clinical Examination (OSCE): Fellow Performance on a Formative Assessment of Acute Kidney Replacement Therapy Competence.
Clin J Am Soc Nephrol
September 2019
Nephrology Service, Department of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland.
Article Synopsis
- A formative objective structured clinical examination (OSCE) was given to 117 nephrology fellows to evaluate their knowledge and skills related to acute kidney replacement therapy (KRT).
- The study revealed that a significant percentage of fellows struggled, with only 32% passing overall and varying results across three scenarios involving acute KRT procedures.
- There was a slight improvement in second-year fellows' scores compared to first-year fellows, but no significant correlation was found between OSCE scores and in-training examination scores.
Acupuncture related acute purulent pericarditis masquerading uremic pericarditis.
J Community Hosp Intern Med Perspect
June 2019
Department of Cardiology, St Mary Medical Center, Langhorne, PA, USA.
Article Synopsis
- - A rare case of acute pericarditis was reported in an elderly man after acupuncture, caused by a Staphylococcus aureus infection, and was treated successfully with fluid drainage and antibiotics.
- - The literature review highlighted that cardiac tamponade is the most common complication associated with acupuncture, with other complications including infective endocarditis, bacterial abscess, and infected myxoma.
- - Notably, there was no existing literature documenting acute pericarditis occurring after acupuncture treatments.
Treatment of Pericardial Effusion Through Subxiphoid Tube Pericardiostomy and Computerized Tomography- or Echocardiography - Guided Percutaneous Catheter Drainage Methods.
Braz J Cardiovasc Surg
June 2019
Department of Cardiovascular Surgery, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Article Synopsis
- The study investigated the effectiveness of different treatments for pericardial effusion (PE) at Atatürk University, focusing on patient outcomes after various surgical interventions.
- Patients were divided into three groups based on the treatment method: subxiphoid pericardiostomy, CT-guided catheter drainage, and ECHO-guided catheter drainage.
- Results showed symptom relief across all groups with no treatment-related deaths, highlighting the importance of individualized treatment selection based on each patient's unique clinical situation.