Pericardite et VIH a Bamako

But : Le but est de decrire la pericardite sur terrain immunodeprime dans ses aspects epidemiologique; clinique et paraclinique. Materiel et methodes : L'etude etait prospective d'avril 2005 a mars 2006 sur 49 patients dans 2 structures sanitaires a Bamako. L'inclusion etait sur la base de la clinique; du resultat de l'echographie cardiaque et de la positivite de la serologie VIH ( si test accepte ) et la collecte et l'analyse des donnees realisee avec SPSS v.11 Resultats : La prevalence de la pericardite a ete estimee a 5;97; le rapport H:F a 1;7; l'age moyen a 40;5 ans avec les 21-30 ans representant 28;6. 14;3des patients ne presentaient aucun signe general. Les signes paracliniques dominants etaient la cardiomegalie (67;5); l'epanchement pericardique ( 55) et le micro-voltage ( 28;5). 20;4des patients avaient presente une tamponnade. 15 patients ( 31) avaient gueri; 18 etaient decedes ( 37). Conclusion : La pericardite n'est pas rare; surtout chez l'immunodeprime et est essentiellement tuberculeuse. Nous n'avons retrouve de relation ni entre serotype et manifes- tations; ni entre manifestations et stade clinique de l'infection

Coxsackie B virus infection and myopericarditis in Thailand, 1987-1989.

Serum specimens of 363 myopericarditis patients from the hospital all over the country were examined for coxsackie B virus antibody during 1987-1989 by means of microneutralization test in order to assess association between myopericarditis and coxsackie B virus infection. The data established that certain virus infection rates were 24.3%, 19.4% and 23.6% respectively, no differences in incidence were found between sex (p > 0.05) and the incidence rate between age groups below 15 years and 15 years and older was significantly different (p < 0.05). It was found that the epidemic happened throughout the year and the most common serotype in 1987 and 1989 was B4 whereas in 1988 it was B3.

Prevalence of pericarditis in Egyptian children affected with active rheumatic carditis

This study was done to detect pericarditis [both dry pericarditis and pericardial effusion] in children with active rheumatic heart disease using clinical, radiological, electrocar-diographic and echocardiographic methods. It included 20 children [12 males and 8 females] admitted to Alexandria University Children's Hospital with age range from 3.5 to 12 years. None of the studied cases showed evidence of dry pericarditis. Pericardial effusion [PE] was documented in 60% of cases by echocardiography, in 40% of cases by ECG, in 15% of cases by X-ray and in none of the cases by clinical methods. Dyspnea was the only clinical manifestation significantly reported in our cases with PE. Mitral valve lesion was the most common valvular affection in cases with PE, and heart failure occurred in 75% of PE cases, while 91.7% of cases of PE diagnosed echocardiographically, had radiological evidence of cardiomegaly. Right ventricular dimension was significantly smaller in patients with PE. Echocardiography was significantly superior to clinical, radiological and electrocardiographic methods in diagnosing PE. Early echocardiographic studies should be performed for all cases with active rheumatic carditis, and if not available, dyspnea can be used as a clinical indicator for the possibility of the presence of PE with 75% accuracy

Avanços em clínica cardiológica: Parte 1. Pericarditis / Advances in clinical cardiology: Pericardites

O autor fez uma revisäo sobre o tétano abordando os principais estudos referentes a etiologia, epidemiologia, patologia, diagnóstico, quadro clínico, diagnóticos diferenciais, exames laboratoriais subsidiários, tratamento, complicaçöes e profilaxias

Pericardites: frequence et etiologie dans le service de cardiologie de l'Hopital du Point-G a Bamako

Il s'agit d'une etude retrospective sur 30 dossiers de patients atteints de pericardites hospitalises dans le service de cardiologie de l'Hopital du Point-G durant la periode de janvier 1990 a decembre 1992. Leur prevalence est de 2;52 pour cent; l'age moyen de 32;47 ans et les hommes sont plus souvent atteints (76;66 pour cent des cas). Le SIDA et la tuberculose isoles dominent les etiologies avec respectivement 20 pour cent et 16;16 pour cent. La mortalite globale est de 36;66 pour cent avec une letalite specifique de 66;66 pour cent dans le SIDA