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Related Concept Videos

Pericarditis I: Introduction01:22

Pericarditis I: Introduction

377
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
377
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

342
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
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Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

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Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
353
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

319
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
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Tonicity in Animals00:59

Tonicity in Animals

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The tonicity of a solution determines if a cell gains or loses water in that solution. The tonicity depends on the permeability of the cell membrane for different solutes and the concentration of nonpenetrating solutes in the solution within and outside of the cell. If a semipermeable membrane hinders the passage of some solutes but allows water to follow its concentration gradient, water moves from the side with low osmolarity (i.e., less solute) to the side with higher osmolarity (i.e.,...
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Hearing01:31

Hearing

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When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
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Plaquing of Herpes Simplex Viruses
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Pericarditis caused by herpes zoster.

Tetsuo Yamanaka1, Toru Fukatsu1, Koutarou Miyata1

  • 1Department of Cardiovascular Medicine, Tokyo Teishin Hospital, Tokyo, Japan.

Journal of Cardiology Cases
|April 6, 2019
PubMed
Summary

A chest pain patient developed a rash and was diagnosed with herpes zoster. Varicella zoster virus (VZV) testing confirmed VZV as the cause of his pericarditis, a rare complication.

Keywords:
Herpes zosterPericarditisVaricella zoster virus

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Virology

Background:

  • Pericarditis is inflammation of the sac surrounding the heart, often caused by viral infections.
  • Varicella zoster virus (VZV), the cause of chickenpox and shingles, is known for various complications.

Observation:

  • A 53-year-old immunocompetent male presented with acute chest pain, initially diagnosed as viral pericarditis.
  • He subsequently developed a characteristic blistering rash on his chest, indicative of herpes zoster.

Findings:

  • Paired serum testing revealed a significant increase in VZV titers, confirming VZV as the causative agent of pericarditis.
  • This case highlights the rare occurrence of VZV-associated pericarditis, presenting concurrently with herpes zoster.

Implications:

  • Clinicians should consider VZV as a potential cause of pericarditis, especially in patients with concurrent herpes zoster.
  • Early recognition and diagnosis of VZV-induced pericarditis are crucial for appropriate patient management and outcomes.