Key result
Autoimmunity drives postpericardiotomy syndrome, whereas cytomegalovirus infection causes postperfusion syndrome.
Design
Review
Authors
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Differentiation by eosinophilia, pleuritic pain, and CMV titers guides post-cardiac surgery evaluation; leaves open prospective validation of criteria.
Differentiating postpericardiotomy syndrome from postperfusion syndrome after cardiac surgery relies on clinical features such as eosinophilia, pleuritic pain, and CMV IgM titers.
B A Cunha (1997) conducted a review in Fever after cardiac operation (Postpericardiotomy syndrome, postperfusion syndrome). Postpericardiotomy syndrome is an autoimmune disorder characterized by eosinophilia and pleuritic chest pain, whereas postperfusion syndrome is caused by cytomegalovirus infection.
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