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A challenging case of recurrent effusive pericarditis

August 2016 Br J Cardiol 2016;23:119–20 doi:10.5837/bjc.2016.030

A challenging case of recurrent effusive pericarditis

Mohamed Abbas, Darrell Ramsey, Dariusz Koziara

Abstract

On admission to the tertiary centre, he had evidence of pulsus paradoxus, raised jugular venous pressure, and muffled heart sounds, but no murmurs. Subsequently, he underwent pericardiocentesis, which drained 600 ml of turbid straw-coloured fluid with immediate improvement in the haemodynamic status. Figure 1. Computed tomography (CT) scan showing pericardial thickening and bilateral pleural effusions The patient was commenced on regular colchicine and ibuprofen. The initial blood tests showed raised inflammatory markers. The biochemical, microbiological and histopathological analysis of the pericardial fluid was normal, including viral serol

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