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Clinicians should consider isolated tuberculous pericarditis; this Level 3 observation leaves open the need for better fluid diagnostics.
Article1 December 1947CLINICALLY PRIMARY TUBERCULOUS PERICARDITISTHEODORE R. STEPMAN, M.D., EDWIN OWYANG, M.D.THEODORE R. STEPMAN, M.D.Search for more papers by this author, EDWIN OWYANG, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-27-6-914 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTuberculosis of the pericardium is a more common finding for the pathologist than for the clinician. It more often occurs in the presence of demonstrable active tuberculous lesions elsewhere in the body, notably the lungs. Less frequently it occurs as a "primary" tuberculosis of the pericardium, or as a "clinically primary" tuberculosis of the pericardium. It is in the latter two that the etiological agent is frequently unsuspected. The tubercle bacillus is notoriously difficult to demonstrate in serous fluids or exudates, requiring exhaustive search over months in many instances. No one hesitates to make a diagnosis of tuberculosis of the...Bibliography1. HARVEYWHITEHILL AMMR: Tuberculous pericarditis, Medicine, 1937, xvi, 45. CrossrefGoogle Scholar2. RIESMAN D: Primary tuberculosis of the pericardium, Am. Jr. Med. Sci., 1901, cxxii, 6. CrossrefGoogle Scholar3. THOMPSON WP: Primary tuberculosis of the pericardium, Jr. Am. Med. Assoc., 1933, c, 642. CrossrefGoogle Scholar4. ROKITANSKY C: A manual of pathological anatomy, London, The Sydenham Society (cited by Harvey and Whitehill). Google Scholar5. BLALOCKLEVY ASE: Tuberculous pericarditis, Jr. Thoracic Surg., 1937, vii, 132. CrossrefGoogle Scholar6. BELLETMCMILLANGOULEY STMBA: Tuberculous pericarditis; clinical and pathological study based on series of 17 cases, Med. Clin. N. Am., 1934, xviii, 201. Google Scholar7. HEDBLOOM CA: Primary tuberculous pericarditis, Surg. Clin. N. Am., 1921, i, 1411. Google Scholar8. TERPLAN K: Anatomical studies on human tuberculosis; primary tuberculous focus without lymph node changes in adults, Supplement to the Am. Rev. Tuberc., 1940, xlii, 168. Anatomical studies of human tuberculosis; primary foci without lymph node changes. Additional observations, Am. Rev. Tuberc., 1946, liii, 393. Google Scholar9. NORRIS GW: Cardiac pathology, 1911, W. B. Saunders Co., Philadelphia, Pa. Google Scholar10. OSLER W: Am. Jr. Med. Sci., 1893, cv, 20 (cited by Dillon). CrossrefGoogle Scholar11. RAWLS WB: Primary tuberculous pericarditis, Am. Jr. Med. Sci., 1925, clxix, 815. Google Scholar12. NORRIS GW: Tuberculous pericarditis, Univ. Penn. Med. Bull., 1904, xvii, 155. Google Scholar13. THAYER WS: Observations of 2 cases of tuberculous pericarditis with effusion, Johns Hopkins Med. Bull., 1904, xv, 149. Google Scholar14. EHRENCLOU AH: Acute tuberculous pericarditis, U. S. Navy Med. Bull., 1921, xv, 120. Google Scholar15. JAUCH FJ: Tuberculous pericarditis, Brit. Med. Jr., 1922, i, 798. Google Scholar16. DILLON ES: Tuberculous pericarditis with tuberculosis of the myocardium and endocardium, Med. Clin. N. Am., 1926, x, 253. Google Scholar17. BLATTGREENGARD MLJ: Pericarditis as primary clinical manifestation of tuberculosis in childhood, Am. Jr. Dis. Child., 1928, xxxv, 631. Google Scholar18. CLARK JA: Clinically primary tuberculous pericarditis, Am. Jr. Med. Sci., 1929, clxxvii, 115. CrossrefGoogle Scholar19. PLATOU RV: Clinically manifest tuberculous pericarditis, Am. Jr. Dis. Child., 1939, lvii, 1386. CrossrefGoogle Scholar20. KATZFINE SMJ: Clinically primary tuberculosis of the pericardium, Dis. Chest, 1944, x, 60. Google Scholar21. MACKAY NR: Tuberculous pericarditis and clinically primary tuberculous pericarditis, New Zealand Med. Jr., 1937, xxxvi, 41. Google Scholar22. BABCOCK WW: Tuberculous pericarditis with enormous effusion; pericardotomy, Surg. Clin. N. Am., 1934, xiv, 39. Google Scholar23. BURCHWINSOR GET: Tuberculous pericarditis with effusion, Clinics, 1942, i, 166. Google Scholar24. MITCHELL GF: Tuberculous pericarditis and Pick's disease, Arch. Pediat., 1938, lv, 157. Google Scholar25. KEEFER C: Tuberculosis of the pericardium; study of 20 cases, Ann. Int. Med., 1937, x, 1085. Google Scholar26. CUSHING EH: Diverticulum of pericardium, Arch. Int. Med., 1937, lix, 56. CrossrefGoogle Scholar27. CUSHINGMORITZ EHA: Diverticulum of pericardium; further data showing presence of extra-thoracic abscess, Arch. Int. Med., 1937, lx, 482. CrossrefGoogle Scholar28. WHITE PD: Heart disease, 1938, The Macmillan Co., New York. Google Scholar29. ACKERMANN W: Treatment of pericarditis with effusion by injections of air and lipiodol into pericardial sac, Am. Rev. Tuberc., 1931, xxiv, 98. Google Scholar30. FINEBERG MH: Functional capacity of normal pericardium; experimental study, Am. Heart Jr., 1936, xi, 748. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: San Leandro, California*Received for publication January 13, 1947.†Resident Staff, Fairmont Hospital of Alameda County, San Leandro, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCONTROLLED CLINICAL TRIAL OF COMPLETE OPEN SURGICAL DRAINAGE AND OF PREDNISOLONE IN TREATMENT OF TUBERCULOUS PERICARDIAL EFFUSION IN TRANSKEICase 4-1966Tuberculous pericarditis∗HEMORRHAGIC PERICARDIAL FLUID IN ACUTE BENIGN NONSPECIFIC PERICARDITIS: REPORT OF A CASE AND REVIEW OF THE LITERATURE*CEILOUS L. WILLIAMS JR., M.D., JULIAN R. BECKWITH, M.D., F.A.C.P., J. EDWIN WOOD JR., M.D., F.A.C.P.Erkrankungen des PerikardPostviral myopericarditis associated with the influenza virusSyndrome of chronic massive pericardial effusionIDIOPATHIC PERICARDITIS*E. A. STEWART REID, M.D., F.R.C.P. (C.), J. LAWRENCE HUTCHISON, M.D., JOHN D. E. PRICE, M.D., ROBERT L. SMITH, M.D.RECURRENT TUBERCULOUS PERICARDITIS*RAY C. JANOVSKY, M.D., JOHN F. BOETTNER, M.D., H. SCOTT VANORDSTRAND, M.D., F.A.C.P., DONALD B. EFFLER, M.D.Tuberculous pericarditisPERICARDIECTOMY IN TWO CASES OF CHRONIC CONSTRICTIVE PERICARDITIS*ALEXANDER E. W. ADA, M.D., OSWALD R. JONES, M.D., F.A.C.P., ARCHIBALD D. SHEERAN, M.D. 1 December 1947Volume 27, Issue 6Page: 914-922KeywordsBacillusLesionsLungsPathologistsPericardiumResidencyTuberculosis ePublished: 1 December 2008 Issue Published: 1 December 1947 PDF downloadLoading ...
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