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March 4, 1933JAMA

Primary Tuberculosis of the Pericardium

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Population

Patients with primary tuberculosis of the pericardium (autopsy cases and review of reported cases)

Design

Case_series

Authors

WTWilliam Paul ThompsonNational Park Service

Discussion

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Overview

May aid recognition of primary TB pericarditis to reduce myocarditis misdiagnosis; hypothesis-generating and requires prospective validation.

Key Points

  • Characterize the distinct clinical manifestations of primary tuberculosis of the pericardium to aid clinicians in establishing accurate antemortem diagnoses.
  • Reviewed previously reported medical literature on primary tuberculous pericarditis.
  • Analyzed clinical case histories and postmortem findings of autopsy cases identified at a single hospital.
  • Postmortem records revealed that nearly all identified patients, with the exception of a single case, received an erroneous antemortem clinical diagnosis of chronic myocarditis.
  • Affected patients demonstrated a consistently uniform clinical presentation that provides clear diagnostic criteria for identifying the disease before death.

Structured PICO

P
Population
Patients with primary tuberculosis of the pericardium (autopsy cases and review of reported cases)
O
Outcome
Clinical features and diagnosis

Primary tuberculosis of the pericardium presents with a distinctive clinical picture that can be recognized to avoid misdiagnosis as chronic myocarditis.

Cite This Study

William Paul Thompson (1933) studied this question.

synapsesocial.com/papers/6a90110102529ca22a277fc2https://doi.org/10.1001/jama.1933.02740090014004
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1THE PATHOLOGY OF ACTIVE TUBERCULOSIS OF THE PERICARDIUM.1901 · 6 citations
  2. 2Tuberculosis as aetiology of so-called idiopathic pericarditis2007
  3. 3Tuberculous pericarditis: three cases and brief review2016 · 6 citations
  4. 4TUBERCULOSIS OF THE MYOCARDIUM1932
  5. 5TUBERCULOSIS OF THE MYOCARDIUM1933 · 23 citations