title: Sudden cardiac arrest caused by tuberculous pericarditis with hemorrhagic pericardial effusion.
abstract: As tuberculosis still exists in Japan, tuberculous pericarditis is a major health issue. Tuberculous pericarditis is difficult to diagnose and leads to poor outcomes when left untreated. We herein report the case of a patient who was admitted to the hospital after undergoing resuscitation for cardiopulmonary arrest. Mycobacterium tuberculosis was detected in his hemorrhagic pericardial fluid and tuberculous pericarditis was diagnosed. The administration of antituberculous medication resulted in marked improvements. A diagnosis of tuberculous pericarditis, in addition to other causes such as malignant tumors, should therefore be considered in the differential diagnosis for cases presenting with hemorrhagic pericardial effusion, even in those involving sudden cardiac arrest.
authors.affiliation: Department of Emergency and Critical Care Medicine, The University of Tokyo Hospital, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Hayase
authors.forename: Ryota
authors.initials: R
authors.lastname: Inokuchi
authors.forename: Kensuke
authors.initials: K
authors.lastname: Nakamura
authors.forename: Ryohei
authors.initials: R
authors.lastname: Horie
authors.forename: Hajime
authors.initials: H
authors.lastname: Sato
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Asada
authors.forename: Naoko
authors.initials: N
authors.lastname: Ohashi
authors.forename: Miyuki
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Kanae
authors.initials: K
authors.lastname: Nagatomo
authors.forename: Rei
authors.initials: R
authors.lastname: Ito
authors.forename: Masataka
authors.initials: M
authors.lastname: Gunshin
authors.forename: Takehiro
authors.initials: T
authors.lastname: Matsubara
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ishii
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Kitsuta
authors.forename: Susumu
authors.initials: S
authors.lastname: Nakajima
authors.forename: Naoki
authors.initials: N
authors.lastname: Yahagi
mesh_terms: D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D003937:Diagnosis, Differential; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000150:complications* / Q000175:diagnosis; D010495:Pericarditis, Tuberculous / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents