[Post-cardiac injury syndrome: an rare cause of pleurisy, value of  pleural fluid analysis].
The post-cardiac injury syndrome is an inflammatory process concerning the pericardium, the pleura and/or the pulmonary parenchyma, that develops after different kinds of cardiac aggression. The diagnosis can be evoked when some clinical and biological results are present but remains one of exclusion. We report a case of post-cardiac injury syndrome for which we demonstrate an immunologic involvement of the pleura. The antimyocardial antibodies and the low complement index found in the pleura strongly support an immunologic process, and this suggests that the analysis of the pleural fluid could be useful for the diagnosis of the post-cardiac injury syndrome.
Beynel
P
P
Service de Pneumologie, Hôpital Croix-Rousse, 93 Grande Rue de la Croix-Rousse, 69317 Lyon.
Perol
M
M
Nesme
P
P
Guérin
J C
JC
D000328:Adult; D000888:Antibodies, Anti-Idiotypic / Q000032:analysis; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006335:Heart Injuries / Q000150:complications*; D006801:Humans; D009206:Myocardium / Q000276:immunology; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010996:Pleural Effusion / Q000737:chemistry* / Q000209:etiology*; D010998:Pleurisy / Q000209:etiology* / Q000276:immunology / Q000473:pathology*; D013577:Syndrome
D000888:Antibodies, Anti-Idiotypic
Syndrome de post-agression cardiaque: une étiologie rare de pleurésie, intérêt de l'analyse du liquide pleural.