tailieunhanh - Báo cáo y học: "Recurrent hemorrhagic pericardial effusion in a child due to diffuse lymphangiohemangiomatosis: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Recurrent hemorrhagic pericardial effusion in a child due to diffuse lymphangiohemangiomatosis: a case report. | Kothari et al. Journal of Medical Case Reports 2010 4 62 http content 4 1 62 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Recurrent hemorrhagic pericardial effusion in a child due to diffuse lymphangiohemangiomatosis a case report Shyam S Kothari1 Sanjiv Sharma2 Kinjal Bhatt1 Ruma Ray3 Sameer Bakhshi4 Ujjwal Chowdhury5 Abstract Introduction Recurrent hemorrhagic pericardial effusion in children with no identifiable cause is a rare presentation. Case presentation We report the case of a 4-year-old Indian girl who presented with recurrent hemorrhagic pericardial effusion. Diffuse lymphangiomatosis was suspected when associated pulmonary involvement soft tissue mediastinal mass and lytic bone lesions were found. Pericardiectomy and lung biopsy confirmed the diagnosis of diffuse lymphangiohemangiomatosis. Partial clinical improvement occurred with thalidomide and low-dose radiotherapy but our patient died from progressive respiratory failure. Conclusion Diffuse lymphangiohemangiomatosis should be considered in the differential diagnosis of hemorrhagic pericardial effusion of unclear cause. Introduction Recurrent hemorrhagic pericardial effusion HPE is uncommon in children. Viral pericarditis tuberculosis neoplasm connective tissue disease and drugs are typically responsible for HPE. We report a case of recurrent HPE that posed diagnostic and therapeutic challenges. Case presentation A 4-year-old Indian girl was referred to us with a diagnosis of hemorrhagic pericardial effusion that recurred despite aspiration twice in the past 6 months. The child had insidious onset of breathlessness for six months and had episodes of lower respiratory tract infection. Pericardial effusion was detected on chest X-ray and hemorrhagic fluid was aspirated. She was started on antitubercular drugs with steroids but her condition did not improve significantly. Our patient had normal development in her early infancy stage and normal growth prior

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