title: [Recurrent cardiac tamponade and sepsis in a patient with rheumatoid arthritis].
abstract: Exudative pericarditis is found in 30-50% of the patients with rheumatoid arthritis (RA), particularly in later stages of the disease. Most cases present with no or few symptoms. We report a case of a 68 year-old male with a history of mild RA who developed exudative pericarditis leading to recurrent cardiac tamponade requiring repeated pericardiocenteses. Treatment with glucocorticosteroids, methotrexate and colchicine proved ineffective in preventing the recurrences. Immunosuppression contributed to the development of sepsis caused by Enterobacter cloacae and resulting in the patient's death.
authors.affiliation: II Katedra i Klinika Kardiologii, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy, Szpital Uniwersytecki Nr 2, Bydgoszcz. wojbalak@gazeta.pl
authors.forename: Wojciech
authors.initials: W
authors.lastname: Balak
authors.forename: Władysław
authors.initials: W
authors.lastname: Sinkiewicz
authors.forename: Sławomir
authors.initials: S
authors.lastname: Jeka
authors.forename: Joanna
authors.initials: J
authors.lastname: Banach
authors.forename: Anna
authors.initials: A
authors.lastname: Sinkiewicz
authors.forename: Danuta
authors.initials: D
authors.lastname: Karasek
authors.forename: Jan
authors.initials: J
authors.lastname: Błażejewski
authors.forename: Robert
authors.initials: R
authors.lastname: Bujak
mesh_terms: D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D001172:Arthritis, Rheumatoid / Q000150:complications*; D002305:Cardiac Tamponade / Q000209:etiology*; D003078:Colchicine / Q000627:therapeutic use; D004452:Echocardiography / Q000379:methods; D016972:Enterobacter cloacae / Q000302:isolation & purification; D004756:Enterobacteriaceae Infections / Q000150:complications; D017809:Fatal Outcome; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D010493:Pericarditis / Q000209:etiology*; D018805:Sepsis / Q000382:microbiology*; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D003078:Colchicine; D008727:Methotrexate