A Case of Tuberculous Pericarditis Diagnosed by Increased ADA Activity in Pericardial Fluid

被引：0

作者：

Her, Ae Young ^{[1
]}

Kim, Yong Hoon ^{[1
]}

机构：

[1] Kangwon Natl Univ, Coll Med, Dept Internal Med, 17-1,Hyoja 3 Dong, Chunchon 200947, Kangwon Do, South Korea

来源：

ANNALS OF GERIATRIC MEDICINE AND RESEARCH | 2007年 / 11卷 / 01期

关键词：

Pericarditis; Tuberculous; Adenosine deaminase (ADA);

D O I：

暂无

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

There is no diagnostic study for the presence of tuberculous pericarditis that is highly accurate as well as safe and easy to perform. As a result, the diagnosis is often delayed or missed, resulting in a clinical course characterized by increased mortality and late complications. Adenosine deaminase (ADA) in pleural or pericardial fluid is known for a useful marker of extrapulmonary tuberculosis. A 76-year old woman visited for dyspnea and generalized edema. Culture for sputum, pleural fluid, and pericardial fluid were negative for tubercle bacillus. But We diagnosed tuberculous pericarditis with pleuritis by increased titer of ADA activity in the pericardial fluid. After 2 weeks of initiation of anti- tuberculous treatment, pericardial and pleural effusion gradually decreased while clinical symptoms improved markedly. Therefore, authors report a case of tuberculous pericarditis diagnosed by increased ADA activity in pericardial fluid with reviewing the previous literatures.

引用

页码：43 / 46

页数：4

共 15 条

[1] THE USE OF PERICARDIAL BIOPSY IN ESTABLISHING ETIOLOGIC DIAGNOSIS IN ACUTE PERICARDITIS [J].