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Tuberculous and Infectious Pericarditis.

Sung-A Chang1

  • 1Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Heart Vascular and Stroke Institute Imaging Center, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Republic of Korea.

Cardiology Clinics
|October 14, 2017
PubMed
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Viral pericarditis is common and treatable with NSAIDs. Tuberculous pericarditis requires a multidisciplinary approach and early treatment to prevent complications. Purulent pericarditis is a medical emergency requiring prompt diagnosis and treatment.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Internal Medicine

Background:

  • Viral pericarditis is the most frequent cause of acute pericarditis.
  • Tuberculous pericarditis is prevalent in immunocompromised individuals and endemic regions.
  • Purulent pericarditis presents a critical, life-threatening condition if left untreated.

Purpose of the Study:

  • To summarize the etiology, diagnosis, and management of acute pericarditis.
  • To highlight the importance of early diagnosis and treatment for tuberculous and purulent pericarditis.
  • To underscore the role of diagnostic cultures in guiding treatment decisions.

Main Methods:

  • Review of current literature on pericarditis etiologies.
  • Analysis of diagnostic approaches for tuberculous pericarditis.
Keywords:
Bacterial pericarditisFungal pericarditisInfectious pericarditisTuberculosis pericarditisViral pericarditis

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  • Emphasis on microbiological cultures for bacterial and fungal pericarditis.

    • Main Results:

    • Viral pericarditis generally responds well to aspirin or NSAIDs.
    • Tuberculous pericarditis necessitates a multidisciplinary diagnostic strategy and presumptive treatment in endemic areas.
    • Antituberculous therapy combined with corticosteroids can mitigate constrictive pericarditis complications.
    • Prompt identification and treatment of bacterial and fungal pericarditis are crucial for survival.

    Conclusions:

    • Effective management of acute pericarditis depends on accurate etiological diagnosis.
    • Early intervention is critical for tuberculous and purulent pericarditis to improve patient outcomes.
    • Diagnostic cultures are essential for targeted antimicrobial therapy.