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Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report

Cardiac tamponade, a condition in which the heart is compressed by pericardial fluid retention, is easy to diagnose; however, identifying the cause may be challenging since it can be caused by a variety of conditions, including trauma and pericardial disease. PATIENT CONCERNS: A 22-year-old man was...

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Autores principales: Taniguchi, Hiroaki, Kaneko, Mayuko, Kiriu, Nobuaki, Kiyozumi, Tetsuro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402997/
https://www.ncbi.nlm.nih.gov/pubmed/37543825
http://dx.doi.org/10.1097/MD.0000000000034410
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author Taniguchi, Hiroaki
Kaneko, Mayuko
Kiriu, Nobuaki
Kiyozumi, Tetsuro
author_facet Taniguchi, Hiroaki
Kaneko, Mayuko
Kiriu, Nobuaki
Kiyozumi, Tetsuro
author_sort Taniguchi, Hiroaki
collection PubMed
description Cardiac tamponade, a condition in which the heart is compressed by pericardial fluid retention, is easy to diagnose; however, identifying the cause may be challenging since it can be caused by a variety of conditions, including trauma and pericardial disease. PATIENT CONCERNS: A 22-year-old man was admitted to the intensive care unit with respiratory failure. He had previously received allogeneic hematopoietic stem cell transplantation for acute myeloid leukemia and developed chronic graft-versus-host disease (cGvHD) that was treated with a corticosteroid. At this time, he developed bilateral femur head necrosis and underwent surgery after discontinuation of the corticosteroid but developed respiratory failure postoperatively. The initial diagnosis was cardiac failure, which temporarily improved with treatment; however, eosinophilia and pericardial effusions became prominent. DIAGNOSES: Pericardial effusion gradually progressed, resulting in cardiac tamponade. INTERVENTIONS: Pericardiocentesis was performed. Eosinophilia could be the cause of cardiac tamponade; thus, corticosteroid was administered. OUTCOMES: Pericardial effusion improved remarkably after corticosteroid administration. The corticosteroid dose was gradually tapered, and the patient was discharged. LESSONS: This case presented with cardiac tamponade associated with eosinophilia, probably owing to graft-versus-host disease. This is an unusual condition associated with a history of hematologic neoplasms; although evaluation is challenging, appropriate assessment could help save the patient’s life.
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spelling pubmed-104029972023-08-05 Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report Taniguchi, Hiroaki Kaneko, Mayuko Kiriu, Nobuaki Kiyozumi, Tetsuro Medicine (Baltimore) 3900 Cardiac tamponade, a condition in which the heart is compressed by pericardial fluid retention, is easy to diagnose; however, identifying the cause may be challenging since it can be caused by a variety of conditions, including trauma and pericardial disease. PATIENT CONCERNS: A 22-year-old man was admitted to the intensive care unit with respiratory failure. He had previously received allogeneic hematopoietic stem cell transplantation for acute myeloid leukemia and developed chronic graft-versus-host disease (cGvHD) that was treated with a corticosteroid. At this time, he developed bilateral femur head necrosis and underwent surgery after discontinuation of the corticosteroid but developed respiratory failure postoperatively. The initial diagnosis was cardiac failure, which temporarily improved with treatment; however, eosinophilia and pericardial effusions became prominent. DIAGNOSES: Pericardial effusion gradually progressed, resulting in cardiac tamponade. INTERVENTIONS: Pericardiocentesis was performed. Eosinophilia could be the cause of cardiac tamponade; thus, corticosteroid was administered. OUTCOMES: Pericardial effusion improved remarkably after corticosteroid administration. The corticosteroid dose was gradually tapered, and the patient was discharged. LESSONS: This case presented with cardiac tamponade associated with eosinophilia, probably owing to graft-versus-host disease. This is an unusual condition associated with a history of hematologic neoplasms; although evaluation is challenging, appropriate assessment could help save the patient’s life. Lippincott Williams & Wilkins 2023-08-04 /pmc/articles/PMC10402997/ /pubmed/37543825 http://dx.doi.org/10.1097/MD.0000000000034410 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.
spellingShingle 3900
Taniguchi, Hiroaki
Kaneko, Mayuko
Kiriu, Nobuaki
Kiyozumi, Tetsuro
Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report
title Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report
title_full Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report
title_fullStr Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report
title_full_unstemmed Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report
title_short Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report
title_sort cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: a case report
topic 3900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402997/
https://www.ncbi.nlm.nih.gov/pubmed/37543825
http://dx.doi.org/10.1097/MD.0000000000034410
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