Pericarditis with tamponade due to cytomegalovirus in the acquired immunodeficiency syndrome.
A 35-year-old male homosexual with AIDS presented with headache and fever and was found to have cryptococcal meningitis. During the patient's hospital course, his hemodynamic status deteriorated as a result of pericardial tamponade. Antemortem analysis of the fluid was unrevealing; however, postmortem examination of the pericardium revealed typical intranuclear inclusions of cytomegalovirus infection. Cytomegalovirus should be included in the differential diagnosis of pericardial effusion in patients with AIDS.
Nathan
P E
PE
Department of Medicine, St. Vincent's Hospital, New York.
Arsura
E L
EL
Zappi
M
M
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D002305:Cardiac Tamponade / Q000150:complications*; D003586:Cytomegalovirus Infections / Q000150:complications*; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000150:complications; D010493:Pericarditis / Q000150:complications*