title: Chronic pericardial effusion secondary to a influenza virus A (H1N1)/2009 infection.
abstract: We report, to our knowledge, the first successful treatment of novel Influenza A (H1N1)/2009 chronic pericardial effusion in an adult. This patient presented on admission respiratory failure and cardiac tamponade which required non invasive ventilation and drainage. Pericardial fluid polymerase chain reaction sequences were positive for Influenza A (H1N1)/2009 virus. Any other etiologies were discarded. Recidivating pericardial effusion after medical treatment, firstly with Oseltamivir, and afterwards, with colchicine and corticosteroids during six months, was solved with pericardiectomy.
authors.affiliation: Department of Intensive Care, Lozano Blesa University Clinical Hospital, Zaragoza, Spain. juanfranciscoml@gmail.com
authors.forename: Juan F
authors.initials: JF
authors.lastname: Martín-Lázaro
authors.forename: Carlos
authors.initials: C
authors.lastname: Homs
authors.forename: Rafael
authors.initials: R
authors.lastname: Benito
authors.forename: Antonio San
authors.initials: AS
authors.lastname: Pedro
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Suárez
mesh_terms: D004322:Drainage; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000235:genetics / Q000302:isolation & purification / Q000502:physiology; D007251:Influenza, Human / Q000150:complications* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery / Q000821:virology; D010492:Pericardiectomy; D020519:Pericardiocentesis / Q000379:methods; D010493:Pericarditis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery / Q000821:virology; D012121:Respiration, Artificial; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D056189:Viral Tropism