Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult

被引:10
|
作者
Johny, Dilip [1 ]
Subramanyam, Kodangala [1 ]
Baikunje, Nandakishore [2 ]
Hosmane, Giridhar Belur [2 ]
机构
[1] KS Hegde Med Acad, Cardiol, Mangalore, Karnataka, India
[2] KS Hegde Med Acad, Pulm Med, Mangalore, Karnataka, India
关键词
cardiovascular medicine; pericardial disease; COVID-19; respiratory system; COVID-19;
D O I
10.1136/bcr-2021-244518
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
COVID-19 has a broad spectrum of cardiac manifestations, and cardiac tamponade leading to cardiogenic shock is a rare presentation. A 30-year-old man with a history of COVID-19-positive, reverse transcription polymerase chain reaction (RT-PCR) done 1 week ago and who was home-quarantined, came to the emergency department with palpitations, breathlessness and orthopnoea. His ECG showed sinus tachycardia with low-voltage complexes, chest X-ray showed cardiomegaly and left pleural effusion and two-dimensional echocardiography showed large pericardial effusion with features suggestive of cardiac tamponade. He was taken up for emergency pericardiocentesis which showed haemorrhagic pericardial fluid. Intercostal drainage insertion was done for left-sided large pleural effusion. After ruling out all the other causes for haemorrhagic pericardial effusion, the patient was started on colchicine, steroids, ibuprofen and antibiotics to which he responded. Both pericardial and pleural effusions resolved completely on follow-up.
引用
收藏
页数:5
相关论文
共 50 条
  • [1] TAMPONADE TO TAP OR NOT: PLEURAL EFFUSION CAUSING CARDIAC TAMPONADE
    Nguyen, Heajung
    Shamsa, Kamran
    Vorobiof, Gabriel
    Hsu, Leeyen
    He, Tao
    Yang, Eric
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2019, 73 (09) : 2362 - 2362
  • [2] Primary Right Atrial Sarcoma Presenting with Cardiac Tamponade and Massive Pleural Effusion
    Ahmadi, Seied Hosein
    Momtahen, Shahram
    Ensani, Fereshteh
    Alikhasi, Afsaneh
    Sadighi, Sanambar
    Samiee, Farhad
    Sedighi, Zahra
    Mohagheghi, Mohammad Ali
    [J]. MIDDLE EAST JOURNAL OF CANCER, 2016, 7 (03) : 161 - 164
  • [3] A 6-Year-Old Boy with COVID-19-Positive Pleural Effusion and Kawasaki-Like Features
    Yousefzadegan, Sedigheh
    Mahmoudabadi, Ramin Zare
    Gharehbaghi, Golnaz
    [J]. CASE REPORTS IN PEDIATRICS, 2021, 2021
  • [4] Massive Pericardial Effusion with Cardiac Tamponade
    Sia, Ching-Hui
    Arong, Marjorie
    Kong, William Kok-Fai
    [J]. MEDICINA INTENSIVA, 2020, 44 (01) : 66 - 67
  • [5] Extensive Cerebral Venous Thrombosis as an Isolated Presentation in a COVID-19-Positive Young Adult
    Farzin, Farnoosh J.
    Lasfer, Chafika
    Kambal, Ivyan
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (09)
  • [6] Incidental Diagnosis of Primary Pleural Liposarcoma in a COVID-19-Positive Patient
    Al Harrasi, Khoula
    Al-Kindi, Adil H.
    Al Lawati, Abdullah
    Al Hosni, Fatma
    Al Shezawi, Asma
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (07)
  • [7] CARDIAC TAMPONADE SECONDARY TO A LARGE PLEURAL EFFUSION
    Ramadan, Ronnie
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 67 (13) : 1038 - 1038
  • [8] Large pleural effusion leading to cardiac tamponade
    Raphaël Giraud
    Carlo Banfi
    Karim Bendjelid
    [J]. Intensive Care Medicine, 2015, 41 : 2191 - 2192
  • [9] Large pleural effusion leading to cardiac tamponade
    Giraud, Raphael
    Banfi, Carlo
    Bendjelid, Karim
    [J]. INTENSIVE CARE MEDICINE, 2015, 41 (12) : 2191 - 2192
  • [10] Massive pleural effusion in a young woman
    Ghiringhelli, Paolo
    Cattaneo, Roberto
    Tiso, Angelo
    Cesaro, Claudia
    [J]. CLINICAL MANAGEMENT ISSUES, 2012, 6 (04) : 141 - 147