RESUMO
Herein is described the case of a 39-year-old female agronomist who was admitted to hospital after a syncopal episode. She had had fever, abdominal pain, nausea, and vomiting for the previous month. The patient showed signs of hypoperfusion, so a trans-thoracic echocardiography was done, demonstrating the presence of a cardiac tamponade. An emergency pericardiocentesis was performed, draining 500 ml of hematic content. Thoracic-abdominal computed tomography showed bilateral pleural effusion and also peritoneal effusion. Laboratory tests were compatible with an inflammatory situation with neutrophilic leukocytosis, alteration of hepatic function, and a plateau elevation of high-sensitivity troponin T. Colchicine was initiated but the evolution of the patient was torpid, making necessary the performance of a pericardial window due to an abrupt increase of pericardial effusion and echocardiographic signs of impending cardiac tamponade. Two chest tubes were inserted due to an increasing bilateral pleural effusion. Serology was positive for Leptospira spp. so doxycycline was initiated. She reported that she had inspected a rice-field the previous month. The patient presented a good response to the treatment, being discharged from hospital completely asymptomatic, with no pericardial effusion and practically resolved pleural effusions. She was evaluated again one month later, with no trace of effusions or symptoms.
RESUMO
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Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Hipotermia/fisiopatologia , Eletrocardiografia , Transtornos Relacionados ao Uso de SubstânciasRESUMO
No disponible
Assuntos
Humanos , Bradicardia/induzido quimicamente , Infecções por HIV/tratamento farmacológico , Inibidores das Enzimas do Citocromo P-450 , Antirretrovirais , Insuficiência Cardíaca/induzido quimicamente , Interações Medicamentosas , Cardiotônicos/efeitos adversos , Citocromo P-450 CYP3ARESUMO
No disponible
Assuntos
Humanos , Marca-Passo Artificial , Arritmia Sinusal/terapia , Fibrilação Atrial/prevenção & controle , Resultado do Tratamento , Estimulação ElétricaAssuntos
Derrame Pericárdico , Pericardite Constritiva , Cateterismo Cardíaco , Eletrocardiografia , Humanos , Masculino , Pessoa de Meia-Idade , Derrame Pericárdico/diagnóstico , Derrame Pericárdico/diagnóstico por imagem , Derrame Pericárdico/cirurgia , Pericardiectomia , Pericardiocentese , Pericardite Constritiva/diagnóstico , Pericardite Constritiva/diagnóstico por imagem , Pericardite Constritiva/cirurgia , Radiografia Torácica , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
No disponible