January 1, 2021SAGE Open Medical Case ReportsOpen Access

A rare case of constrictive pericarditis with Budd–Chiari syndrome due to right atrial thrombosis

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Why the study?

There is a dearth of literature on co-existent constrictive pericarditis and Budd-Chiari syndrome, which share similar clinical presentations such as ascites and hepatomegaly.

Population

One 31-year-old HIV-infected female with previous pulmonary tuberculosis

Design

Case report

Authors

SPS PillayUniversity of KwaZulu-Natal NMNokwazi Moffat

Discussion

Member takes

Implication

May prompt earlier evaluation in similar patients; leaves open need for prospective validation in endemic regions.

Structured PICO

Population

31-year-old HIV-infected female on anti-retroviral therapy (CD4 count 208 cells/uL, undetected viral load) with previous pulmonary tuberculosis, presenting with a 2-month history of abdominal swelling, peripheral oedema, and NYHA grade 4 dyspnoea.

Intervention

Anti-coagulation, anti-tuberculosis therapy, and referral for pericardiectomy

Clinicians should maintain a high index of suspicion for co-existent constrictive pericarditis and Budd-Chiari syndrome in HIV-infected patients with previous tuberculosis presenting with disproportionate ascites and right heart failure.

Cite This Study

Pillay et al. (2021) studied this question.

synapsesocial.com/papers/6a72dff3687a19e9271ae6ef https://doi.org/10.1177/2050313x211032405

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A rare case of constrictive pericarditis with Budd–Chiari syndrome due to right atrial thrombosis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

A rare case of constrictive pericarditis with Budd–Chiari syndrome due to right atrial thrombosis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider