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Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult
COVID-19 has a broad spectrum of cardiac manifestations, and cardiac tamponade leading to cardiogenic shock is a rare presentation. A 30-year-old man with a history of COVID-19-positive, reverse transcription polymerase chain reaction (RT-PCR) done 1 week ago and who was home-quarantined, came to th...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438857/ https://www.ncbi.nlm.nih.gov/pubmed/34518185 http://dx.doi.org/10.1136/bcr-2021-244518 |
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author | Johny, Dilip Subramanyam, Kodangala Baikunje, Nandakishore Hosmane, Giridhar Belur |
author_facet | Johny, Dilip Subramanyam, Kodangala Baikunje, Nandakishore Hosmane, Giridhar Belur |
author_sort | Johny, Dilip |
collection | PubMed |
description | COVID-19 has a broad spectrum of cardiac manifestations, and cardiac tamponade leading to cardiogenic shock is a rare presentation. A 30-year-old man with a history of COVID-19-positive, reverse transcription polymerase chain reaction (RT-PCR) done 1 week ago and who was home-quarantined, came to the emergency department with palpitations, breathlessness and orthopnoea. His ECG showed sinus tachycardia with low-voltage complexes, chest X-ray showed cardiomegaly and left pleural effusion and two-dimensional echocardiography showed large pericardial effusion with features suggestive of cardiac tamponade. He was taken up for emergency pericardiocentesis which showed haemorrhagic pericardial fluid. Intercostal drainage insertion was done for left-sided large pleural effusion. After ruling out all the other causes for haemorrhagic pericardial effusion, the patient was started on colchicine, steroids, ibuprofen and antibiotics to which he responded. Both pericardial and pleural effusions resolved completely on follow-up. |
format | Online Article Text |
id | pubmed-8438857 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-84388572021-09-24 Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult Johny, Dilip Subramanyam, Kodangala Baikunje, Nandakishore Hosmane, Giridhar Belur BMJ Case Rep Case Report COVID-19 has a broad spectrum of cardiac manifestations, and cardiac tamponade leading to cardiogenic shock is a rare presentation. A 30-year-old man with a history of COVID-19-positive, reverse transcription polymerase chain reaction (RT-PCR) done 1 week ago and who was home-quarantined, came to the emergency department with palpitations, breathlessness and orthopnoea. His ECG showed sinus tachycardia with low-voltage complexes, chest X-ray showed cardiomegaly and left pleural effusion and two-dimensional echocardiography showed large pericardial effusion with features suggestive of cardiac tamponade. He was taken up for emergency pericardiocentesis which showed haemorrhagic pericardial fluid. Intercostal drainage insertion was done for left-sided large pleural effusion. After ruling out all the other causes for haemorrhagic pericardial effusion, the patient was started on colchicine, steroids, ibuprofen and antibiotics to which he responded. Both pericardial and pleural effusions resolved completely on follow-up. BMJ Publishing Group 2021-09-13 /pmc/articles/PMC8438857/ /pubmed/34518185 http://dx.doi.org/10.1136/bcr-2021-244518 Text en © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. https://bmj.com/coronavirus/usageThis article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained. |
spellingShingle | Case Report Johny, Dilip Subramanyam, Kodangala Baikunje, Nandakishore Hosmane, Giridhar Belur Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult |
title | Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult |
title_full | Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult |
title_fullStr | Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult |
title_full_unstemmed | Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult |
title_short | Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult |
title_sort | cardiac tamponade and massive pleural effusion in a young covid-19-positive adult |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438857/ https://www.ncbi.nlm.nih.gov/pubmed/34518185 http://dx.doi.org/10.1136/bcr-2021-244518 |
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