TUBERCULOUS PERICARDITIS - IMPORTANCE OF ADENOSINE-DEAMINASE ACTIVITY IN PERICARDIAL FLUID

被引：2

作者：

INOUE, T

IGA, K

HORI, K

MATSUMURA, T

GEN, H

KIJIMA, K

KOHRI, Y

IWATA, T

机构：

[1] The Department of Cardiology, Tenri Hospital, Tenri

[2] The Department of Respiratory Medicine, Tenri Hospital, Tenri

来源：

INTERNAL MEDICINE | 1993年 / 32卷 / 08期

关键词：

PERICARDIAL EFFUSION; ADENOSINE DEAMINASE (ADA);

D O I：

10.2169/internalmedicine.32.675

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We present a case of tuberculous pericarditis that was diagnosed early by a high titer of adenosine deaminase activity in the pericardial fluid and by a strongly positive tuberculin test. Within 2 weeks of initiation of treatment, pericardial effusion gradually decreased while clinical symptoms improved markedly. Culture from sputum, gastric juice, urine, and pericardial fluid were negative for tubercle bacillus. Measurement of adenosine deaminase activity in the pericardial fluid is a supplementary diagnostic test which is as important as for tuberculous pericarditis as it is for tuberculous pleuritis, because negative Ziehl Neelsen staining and culture for tubercle bacillus are common in tuberculous pericarditis.

引用

页码：675 / 677

页数：3

共 9 条

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