[Chest pain and fever].
A 26 year old women was seen at our outpatient clinic because of fever, dyspnea, chest pain and night sweats. An echocardiography revealed a moderate pericardial effusion. Therapy with a nonsteroidal anti-inflammatory drug was started, but the patient did not improve clinically. A new left pleural effusion became manifest. Usual laboratory tests, serological tests and examination of pleural effusion were not conclusive. However, a tuberculin skin test was positive. The etiologic diagnosis of this pericarditis and pleuritis was obtained by thoracoscopic pleural biopsy, which yielded Mycobacterium tuberculosis.
Bassetti
S
S
Medizinische Universitäts-Poliklinik, Departement Innere Medizin, Kantonsspital, Basel.
Kober
L
L
Martina
B
B
Zimmerli
W
W
D000328:Adult; D002637:Chest Pain / Q000209:etiology*; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D010490:Pericardial Effusion / Q000382:microbiology*; D010495:Pericarditis, Tuberculous / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D010994:Pleura / Q000382:microbiology
Thoraxschmerz und Fieber.