Key result
Pericardial drainage, lavage, and anti-inflammatory therapy successfully resolve idiopathic pericarditis and tamponade in cattle.
Why the study?
Idiopathic pericarditis with cardiac tamponade is an uncommon diagnosis in cattle and requires differentiation from more common septic pericarditis for prognosis and treatment.
Case Report (n=2)
Idiopathic pericarditis in cows, unlike septic pericarditis, has a good prognosis when treated with pericardial drainage, lavage, and anti-inflammatory drugs.
May warrant consideration of idiopathic pericarditis in cattle with right-sided failure; leaves open prognosis and management in larger cohorts.
Idiopathic pericarditis is an uncommon diagnosis in cattle with cardiac tamponade. Two cows were examined for clinical signs of right-sided congestive heart failure, including tachycardia, venous distention, and peripheral edema. Muffled heart sounds were detected in one of the cows. Echocardiography in both cows revealed voluminous anechoic pericardial effusion and compression of the right atrium and right ventricle. Cytologic analysis of the pericardial fluid revealed hemorrhagic inflammation but no evidence of a septic or neoplastic condition such as traumatic reticulopericarditis or lymphoma, respectively. Pericardial drainage and lavage accompanied by treatment with anti-inflammatory drugs were curative in both cows. It is important to differentiate cows with idiopathic pericarditis from cows with more common septic pericarditis because the prognosis for the former disease appears to be good with appropriate treatment.
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Jesty et al. (2005) conducted a case report in Idiopathic pericarditis and cardiac tamponade (n=2). Pericardial drainage and lavage with anti-inflammatory drugs was evaluated on Clinical cure. Pericardial drainage and lavage accompanied by anti-inflammatory drugs were curative in two cows with idiopathic pericarditis and cardiac tamponade.
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