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Kardiol Pol. 2011;69(9):948-50; discussion 951.

[Recurrent cardiac tamponade and sepsis in a patient with rheumatoid arthritis].

[Article in Polish]

Author information

1
II Katedra i Klinika Kardiologii, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy, Szpital Uniwersytecki Nr 2, Bydgoszcz. wojbalak@gazeta.pl

Abstract

Exudative pericarditis is found in 30-50% of the patients with rheumatoid arthritis (RA), particularly in later stages of the disease. Most cases present with no or few symptoms. We report a case of a 68 year-old male with a history of mild RA who developed exudative pericarditis leading to recurrent cardiac tamponade requiring repeated pericardiocenteses. Treatment with glucocorticosteroids, methotrexate and colchicine proved ineffective in preventing the recurrences. Immunosuppression contributed to the development of sepsis caused by Enterobacter cloacae and resulting in the patient's death.

PMID:
21928208
[Indexed for MEDLINE]
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