A case of treatment of chronic constrictive pericarditis of tuberculous etiology
R. V. Tarasov,
E. V. Krasnikova,
S. S. Cadovnikova,
D. N. Prokhodtsov,
A. S. Khozikov,
M. A. Bagirov https://doi.org/10.20340/vmi-rvz.2024.4.CASE.2
Abstract
An observation from practice is given tuberculous constrictive pericarditis, which has been occurring for a long time with symptoms of polyserositis without identifying of etiology. The recurrent course of the disease, the constant accumulation of effusion in the abdominal and pleural cavities was the basis for the diagnosis: "compressive pericarditis complicated by calcification of unknown genesis and of constant patronage of cardiologists. Considering the tuberculous process suffered more than 10 years ago, to exclude the tuberculous etiology of polyserositis, the patient underwent pericardial resection. According to the results of microbiological examination of the surgical material, the tuberculous nature of pericarditis was established, however, according to the results of histological examination, no foci of necrosis and granuloma elements were found. The clinical case demonstrates the complexity of the diagnosis of tuberculous constrictive pericarditis with the phenomena of pronounced polyserositis, which was detected only as a result of diagnostic surgery: partial excision of the pericardium.
About the Authors
R. V. Tarasov
Central Tuberculosis Research Institute;
Moscow Medical University "Reaviz";
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Ruslan V. Tarasov, Cand. Sci. (Med.), surgeon, research fellow, Department of Surgery, Central Tuberculosis Research Institute; Associate Professor, Department of Surgical Diseases, Moscow Medical University "Reaviz"; Assistant, Department of Thoracic Surgery, Russian Medical Academy of Continuous Professional Education
2, Yauzskaya Alley, Moscow, 107564,
2, Krasnobogatyrskaya St., Bldg. 2, Moscow, 107564,
2/1, Barrikadnaya St., Bldg. 1, Moscow, 125993
E. V. Krasnikova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Elena V. Krasnikova, Dr. Sci. (Med.), Thoracic Surgeon, Head of the 2nd Surgical Department
2, Yauzskaya Alley, Moscow, 107564
S. S. Cadovnikova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Svetlana S. Sadovnikova, Dr. Sci. (Med.), Thoracic Surgeon, Head of the 1st Surgical Department
2, Yauzskaya Alley, Moscow, 107564,
D. N. Prokhodtsov
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Dmitry N. Prokhodtsov, Cand. Sci. (Med.), surgeon
2, Yauzskaya Alley, Moscow, 107564
A. S. Khozikov
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Andrey S. Khozikov, Pathologist
2, Yauzskaya Alley, Moscow, 107564
M. A. Bagirov
Central Tuberculosis Research Institute;
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Mamed A. Bagirov, Dr. Sci. (Med.), thoracic surgeon, chief researcher of the surgery de- partment, Central Tuberculosis Research Institute; professor of the thoracic surgery department, Russian Medical Academy of Continuous Professional Education
2, Yauzskaya Alley, Moscow, 107564,
2/1, Barrikadnaya St., Bldg. 1, Moscow, 125993
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For citations:
Tarasov R.V., Krasnikova E.V., Cadovnikova S.S., Prokhodtsov D.N., Khozikov A.S., Bagirov M.A. A case of treatment of chronic constrictive pericarditis of tuberculous etiology. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2024;14(4):92-98. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.4.CASE.2
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