title: Recurrent Hemorrhagic Pericardial Effusion and Tamponade due to Filariasis Successfully Treated with Ivermectin and Albendazole.
abstract: Filariasis presenting with pericardial effusion with tamponade is rare. We report a case of a 30-year-old female who was admitted with severe dyspnea and chest pain since 2 days. Echocardiogram showed massive pericardial effusion with tamponade. Pericardial fluid aspiration drained 1.2 L of hemorrhagic fluid. Cytology examination revealed microfilaria of Wuchereria bancrofti. She was treated with diethyl carbamazine and discharged. Six weeks later, she presented again with massive pericardial effusion with cardiac tamponade. Pericardiocentesis was done. Cytology examination revealed microfilaria of W. bancrofti. This time she was treated with ivermectin and albendazole and cured. Hemorrhagic effusion resolved completely. Though relatively uncommon, tropical diseases must always be considered in the etiological diagnosis of recurrent pericardial effusion.
authors.affiliation: GSVM Medical College, Kanpur, Uttar Pradesh, India.
authors.forename: Santosh Kumar
authors.initials: SK
authors.lastname: Sinha
authors.affiliation: GSVM Medical College, Kanpur, Uttar Pradesh, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Goel
authors.affiliation: GSVM Medical College, Kanpur, Uttar Pradesh, India.
authors.forename: Mohit
authors.initials: M
authors.lastname: Sachan
authors.affiliation: GSVM Medical College, Kanpur, Uttar Pradesh, India.
authors.forename: Sameer
authors.initials: S
authors.lastname: Saraf
authors.affiliation: GSVM Medical College, Kanpur, Uttar Pradesh, India.
authors.forename: Chandra Mohan
authors.initials: CM
authors.lastname: Verma
keywords: Albendazole; Wuchereria bancrofti; diethyl carbamazine; ivermectin; pericardial effusion with tamponade