title: [Chest pain and fever].
abstract: 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.
authors.affiliation: Medizinische Universitäts-Poliklinik, Departement Innere Medizin, Kantonsspital, Basel.
authors.forename: S
authors.initials: S
authors.lastname: Bassetti
authors.forename: L
authors.initials: L
authors.lastname: Kober
authors.forename: B
authors.initials: B
authors.lastname: Martina
authors.forename: W
authors.initials: W
authors.lastname: Zimmerli
mesh_terms: 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
vernacular_title: Thoraxschmerz und Fieber.