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KMID : 0371320110800000040
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Journal of the Korean Surgical Society
2011 Volume.80 No. 0 p.40 ~ p.42
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Cardiac tamponade caused by tuberculosis pericarditis in renal transplant recipients
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Kim Jong-Man
Kim Sung-Joo
Joh Jae-Won
Kwon Choon-Hyuck
Song Yong-Bin
Shin Mill-Jae
Moon Ju-Ik
Jung Gum-O
Choi Gyu-Seong
Kim Bok-Nyeo
Lee Suk-Koo
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Abstract
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A 50-year-old male, renal transplant recipient, was admitted with fever and chest discomfort. At admission, chest radiologic finding was negative and echocardiography showed minimal pericardial effusion. After 2 days of admission, chest pain worsened and blood pressure fell to 60/40 mmHg. Emergency echocardiography showed a large amount of pericardial effusion compressing the entire heart. Pericardiocentesis was performed immediately. Mycobacterium tuberculosis was isolated from pericardial fluid. Tuberculosis pericarditis should be considered as the cause of cardiac tamponade in renal transplant recipients, even with the absence of pericardial effusion in the initial study or suggestive history.
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KEYWORD
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Pericardiac tamponade, Renal transplantation, Tuberculosis, Tuberculosis pericarditis
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