Acute Cardiac Tamponade in a 58-Year-Old Male with Poststreptococcal Glomerulonephritis.
Pericarditis in conjunction with nephritis is an uncommon clinical scenario with a broad differential diagnosis. We present the case of a 58-year-old male who developed nephritis and pericardial effusion with tamponade physiology. In the following, we discuss the differential diagnosis for concomitant nephritis and pericarditis and discuss the work-up performed on our patient. We also review the epidemiology of postinfectious glomerulonephritis in adults and describe previous cases of Streptococcus pyogenes pericarditis in the literature.
Virginia Commonwealth University Health System, Richmond, Virginia.
Wendy
W
Bottinor
Virginia Commonwealth University Health System, Richmond, Virginia.
Daniel
D
Fronk
Virginia Commonwealth University Health System, Richmond, Virginia.
Salima
S
Sadruddin
Hunter Holmes McGuire VA Medical Center, Richmond, Virginia.
Harriet
H
Foster
Hunter Holmes McGuire VA Medical Center, Richmond, Virginia.
Nilang
N
Patel
Hunter Holmes McGuire VA Medical Center, Richmond, Virginia.
Andreas
A
Prinz
Virginia Commonwealth University Health System, Richmond, Virginia; Hunter Holmes McGuire VA Medical Center, Richmond, Virginia.
Ion S
IS
Jovin
D000208:Acute Disease; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005921:Glomerulonephritis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D020519:Pericardiocentesis / Q000379:methods*; D006435:Renal Dialysis; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
acute kidney failure; cardiac tamponade; pericarditis; postinfectious glomerulonephritis