Key result
Percutaneous drainage and antibiotics resolve massive purulent pericarditis in an HIV-1 patient.
Why the study?
In sub-Saharan Africa, tuberculosis is the most common cause of HIV-associated pericarditis, while other infectious causes pose diagnostic and treatment challenges, particularly in decentralized settings.
Case Report (n=1)
No
Highlights the occurrence of purulent pericarditis in an untreated HIV-1 patient in a regional hospital setting in sub-Saharan Africa.
Raises awareness of purulent pericarditis in untreated HIV in sub-Saharan Africa; leaves open optimal management strategies.
Pericarditis is a common and serious cardiovascular disease during HIV infection.In sub-Saharan Africa, tuberculosis is the most common etiology; however, other infectious causes of pericarditis pose a problem of diagnosis and treatment.We report the case of a patient living with HIV 1 for 3 years without ARV treatment who developed a purulent pericarditis treated at regional hospital of Thiès.We highlight the diagnostic difficulties of this condition in the decentralized zone and the means of treatment of this pathology, fatal if it is not treated early.
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ATD Lawson (2018) conducted a case report in Purulent pericarditis in HIV-1 infection (n=1). Percutaneous subxiphoid drainage, probabilistic broad-spectrum antibiotics (ceftriaxone, metronidazole, gentamicin), prednisone, and antiretroviral therapy was evaluated on Resolution of purulent pericardial effusion and clinical symptoms.
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