258 results match your criteria Pericarditis Uremic

Acute pericarditis after COVID 19 in a peritoneal dialysis patient.

CEN Case Rep 2022 May 4. Epub 2022 May 4.

Department of Nephrology and Renal Transplantation, Centro Hospitalar Universitário de Lisboa Norte, Av. Prof. Egas Moniz MB, 1649-028, Lisbon, Portugal.

COVID-19 is known to affect numerous organs which have ACE-2 receptors, lung being the most involved organ. Nevertheless, cardiac involvement is not uncommon and can occur through a variety of manifestations. The authors hereby report a case of pericarditis following SARS-CoV-2 infection. Read More

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Predisposing factors and uremic pericardial effusion among ESRD patients undergoing dialysis.

Ann Med Surg (Lond) 2022 May 6;77:103579. Epub 2022 Apr 6.

Department of Anesthesiology and Intensive Care, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.

Objective: Pericardial effusion and pericarditis are responsible for 3-5% of deaths due to tamponade, fatal arrhythmia and heart failure. Improvement in dialysis methods has allowed the initiation of the treatment at early stages. This study is designed to evaluate the prevalence of pericardial effusion and its predisposing factors among end-stage renal disease (ESRD) patients undergoing dialysis. Read More

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Diagnostic value of pericardial aspiration in dialysis patients: Case report with management informed by a retrospective case series.

Clin Nephrol 2022 Mar 28. Epub 2022 Mar 28.

Introduction: Pericardial effusions and uremic pericarditis have been described in patients with kidney disease since 1836 [1] when they were considered a pre-terminal sign [2]. Fortunately today this pathology is less frequently encountered [3]; however, this has resulted in highly variable management.

Aims: This report aims to describe the case of a 61-year-old female presenting with a large pericardial effusion prior to kidney transplantation, and how local activity was reviewed to guide management. Read More

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Hemolytic uremic syndrome related to Shiga-like toxin-producing Escherichia coli with encephalitis hiding a human herpesvirus-6 infection: a case report.

J Med Case Rep 2021 May 25;15(1):300. Epub 2021 May 25.

Department of Neonatal Medicine and Pediatric Intensive Care, Arnaud de Villeneuve Hospital, Montpellier University Hospital Center, 371 Avenue du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.

Background: Cardiac and neurological involvement in hemolytic uremic syndrome are life-threatening complications. The most frequent complications of cardiac involvement in hemolytic uremic syndrome are myocarditis and cardiac dysfunction due to fluid overload. Pericarditis remains very rare in hemolytic uremic syndrome. Read More

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Hemorrhagic pericardial tamponade in a peritoneal dialysis patient.

J Chin Med Assoc 2021 07;84(7):733-735

School of Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan, ROC.

Uremic pericarditis and pericardial effusion are possible complications among patients with end-stage renal disease. The accumulation of toxic metabolites may contribute to the pathogenesis of uremic pericarditis. Bleeding diathesis in peritoneal dialysis patients raises the risk of hemorrhagic pericardial tamponade, which is a fatal complication of peritoneal dialysis. Read More

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Hemodialysis Emergencies: Core Curriculum 2021.

Am J Kidney Dis 2021 05 23;77(5):796-809. Epub 2021 Mar 23.

MedStar Georgetown University Hospital, Washington, DC. Electronic address:

Since maintenance hemodialysis (HD) first became available in the United States in 1962, there has been tremendous growth in the population of patients with kidney failure. HD has become a routine treatment carried out in outpatient clinics, hospitals, nursing facilities, and in patients' homes. Although it is a complex procedure, HD is quite safe. Read More

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Uremic- and Dialysis-Associated Pericarditis.

Cardiol Rev 2021 Nov-Dec 01;29(6):310-313

Department of Medicine, Geisinger Commonwealth School of Medicine, Scranton, PA.

Uremic pericarditis occurs as a result of inflammation of the pericardium due to toxins and immune complexes in patients with renal disease. The initial clinical manifestations of pericarditis and acute coronary syndrome may be similar, and initial EKG findings may overlap. The management of this disease needs the combined efforts of internists, cardiologists, and nephrologists. Read More

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December 2021

Cardiovascular Complications of Hemolytic Uremic Syndrome in Children.

Maedica (Bucur) 2020 Sep;15(3):305-309

Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Hemolytic uremic syndrome is the most frequent cause of acute renal failure in children, commonly after gastrointestinal infections with E. coli or Salmonella, and it is characterized by progressive renal failure associated with microangiopathic hemolytic anemia and thrombocytopenia. Cardiac involvement is frequently encountered and can be potentially fatal in hemolytic uremic syndrome. Read More

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September 2020

Methicillin-Resistant Staphylococcus aureus (MRSA)-Positive Pericardial Abscess Presenting in a Hemodialysis Patient.

Cureus 2020 Sep 12;12(9):e10411. Epub 2020 Sep 12.

Internal Medicine, University of Baghdad Al-Kindy College of Medicine, Baghdad, IRQ.

Purulent pericarditis is an uncommon infection of the pericardial space that can very rarely present as a pericardial abscess. Infection by hematogenous spread in dialysis patients is among the predisposing risk factors that can lead to purulent pericarditis. Herein, we present a pericardial abscess case due to methicillin-resistant (MRSA) infection in a male patient with end-stage renal disease (ESRD) on hemodialysis. Read More

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September 2020

Point-of-care ultrasound in Management for Dyspneic Uremic Patients: a case report.

BMC Nephrol 2019 12 12;20(1):463. Epub 2019 Dec 12.

Department of Emergency Medicine, National Taiwan University Hospital and College of Medicine, National Taiwan University, |No.7, Chung-Shan South Road, Taipei, 100, Taiwan.

Background: Point-of-Care Ultrasound (PoCUS) is considered as an extension of clinicians' patient care and can be integrated into daily clinical practice. Dyspnea is a common presentation in uremic patients. With the aids of PoCUS and integrated assessments of lung, heart and inferior vena cava (IVC), the etiology of dyspnea in uremic patients can be determined earlier. Read More

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December 2019

The Acute Dialysis Orders Objective Structured Clinical Examination (OSCE): Fellow Performance on a Formative Assessment of Acute Kidney Replacement Therapy Competence.

Clin J Am Soc Nephrol 2019 09 13;14(9):1346-1354. Epub 2019 Aug 13.

Nephrology Service, Department of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland

Background And Objectives: Acute kidney replacement therapy (KRT) prescription is a critical nephrology skill. We administered a formative objective structured clinical examination (OSCE) to nephrology fellows to assess acute KRT medical knowledge, patient care, and systems-based practice competencies.

Design, Setting, Participants, & Measurements: Prospective cohort study of an educational test using the unified model of construct validity. Read More

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September 2019

Acupuncture related acute purulent pericarditis masquerading uremic pericarditis.

J Community Hosp Intern Med Perspect 2019 19;9(3):230-234. Epub 2019 Jun 19.

Department of Cardiology, St Mary Medical Center, Langhorne, PA, USA.

We are reporting a rare case of acupuncture-related acute pericarditis in an old-aged gentleman due to Staphylococcus aureus infection who was successfully managed with drainage of pericardial fluid and broad-spectrum antibiotics. We also reviewed the literature and found cardiac tamponade as the most common acupuncture-related cardiac complication, followed by infective endocarditis, bacterial abscess, and infected myxoma. There was no available literature on post-acupuncture acute pericarditis. Read More

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Treatment of Pericardial Effusion Through Subxiphoid Tube Pericardiostomy and Computerized Tomography- or Echocardiography - Guided Percutaneous Catheter Drainage Methods.

Braz J Cardiovasc Surg 2019 Mar-Apr;34(2):194-202

Department of Cardiovascular Surgery, Atatürk University Faculty of Medicine, Erzurum, Turkey.

Objective: In this retrospective study, we aimed to observe the efficacy of pericardial effusion (PE) treatments by a survey conducted at the Department of Cardiovascular Surgery, Faculty of Medicine, Atatürk University.

Methods: In order to get comparable results, the patients with PE were divided into three groups - group A, 480 patients who underwent subxiphoid pericardiostomy; group B, 28 patients who underwent computerized tomography (CT)-guided percutaneous catheter drainage; and group C, 45 patients who underwent echocardiography (ECHO)-guided percutaneous catheter drainage.

Results: In the three groups of patients, the most important symptom and physical sign were dyspnea and tachycardia, respectively. Read More

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Autoimmune Heparin-Induced Thrombocytopenia: Treatment Obstacles and Challenging Length of Stay.

Am J Case Rep 2019 Mar 9;20:310-313. Epub 2019 Mar 9.

Division of Hematology and Medical Oncology, Brookdale University Hospital, Brooklyn, NY, USA.

BACKGROUND Autoimmune heparin-induced thrombocytopenia (aHIT) refers to a condition, in which antiplatelet factor-4 (PF4) antibodies activate platelets even in the absence of heparin (heparin independent platelet activation). This is a severe hypercoagulable state triggering massive thrombin storm needing additional therapies and aggressive anticoagulation apart from stopping heparin. Thrombocytopenia in these cases seems to be very severe and prolonged compared to classic HIT and poses additional clinical challenges in terms of anticoagulation management. Read More

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A Toddler With Fever, Melena, and Renal Failure.

Clin Pediatr (Phila) 2019 Mar 3;58(3):367-370. Epub 2018 Dec 3.

University of Tennessee Health Science Center, Memphis, TN, USA.

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Uremic Pericarditis: Distinguishing Features in a Now-Uncommon Clinical Syndrome.

South Med J 2018 12;111(12):754-757

From the Hospital Medicine Unit and the Core Educator Faculty and Renal Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, the Heart and Vascular Center, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

We present the case of a 47-year-old man with a history of diabetes mellitus and diabetic nephropathy who was admitted to our hospital with acute uremic myopericarditis. Echocardiography demonstrated a fibrinous pericardial effusion. The patient was initiated on hemodialysis for hyperkalemia, metabolic acidosis, and uremia. Read More

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December 2018

Uremic pericarditis in patients with End Stage Renal Disease: Prevalence, symptoms and outcome in 2017.

Am J Emerg Med 2018 03 21;36(3):464-466. Epub 2017 Nov 21.

Department of Cardiology, Medical School of Oujda, University Mohammed the First, Oujda, Morocco.

The prevalence of uremic pericarditis (UP) used to range from 3% to 41%. More recently, it has decreased to about 5%-20% and to <5% in the last decades, as hemodialysis techniques have become widely used and dialysis quality improved. The objective of this work is to determine the initial clinical picture and the prognosis of patients presenting End Stage Renal Disease (ESRD) with UP. Read More

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Purulent pericarditis complicating cardiac tamponade in a uremic patient caused by Staphylococcus aureus.

J Microbiol Immunol Infect 2018 Oct 26;51(5):695-696. Epub 2017 Oct 26.

Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Division of Nephrology, Department of Internal Medicine, Wan Fang Medical Center, Taipei Medical University, Taipei, Taiwan.

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October 2018

Acute Pericarditis: Descriptive Study and Etiology Determination in a Predominantly African American Population.

Cureus 2017 Jul 6;9(7):e1431. Epub 2017 Jul 6.

Department of Internal Medicine, Howard University Hospital.

INTRODUCTION ---Acute pericarditis is the most commonly encountered manifestation of pericardial disease (incidence: 0.2 percent to 0.5 percent in hospitalized patients). Read More

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Emergency medicine evaluation and management of the end stage renal disease patient.

Am J Emerg Med 2017 Dec 5;35(12):1946-1955. Epub 2017 Sep 5.

Joint Base Elmendorf Richardson Medical Center, Department of Emergency Medicine, 5955 Zeamer Ave, JBER, AK, 99506, United States.

Background: End stage renal disease (ESRD) is increasing in the U.S., and these patients demonstrate greater all-cause mortality, cardiovascular events, and hospitalization rates when compared to those with normal renal function. Read More

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December 2017

Uremic pericarditis, pericardial effusion, and constrictive pericarditis in end-stage renal disease: Insights and pathophysiology.

Clin Cardiol 2017 Oct 5;40(10):839-846. Epub 2017 Sep 5.

Department of Cardiovascular Medicine, Center for Diagnosis and Treatment of Pericardial Diseases, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

A rising prevalence of end-stage renal disease (ESRD) has led to a rise in ESRD-related pericardial syndromes, calling for a better understanding of its pathophysiology, diagnoses, and management. Uremic pericarditis, the most common manifestation of uremic pericardial disease, is a contemporary problem that calls for intensive hemodialysis, anti-inflammatories, and often, drainage of large inflammatory pericardial effusions. Likewise, asymptomatic pericardial effusions can become large and impact the hemodynamics of patients on chronic hemodialysis. Read More

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October 2017

Cardiovascular and Pulmonary Manifestations of Systemic Lupus Erythematosus.

Curr Rheumatol Rev 2017 ;13(3):206-218

Centre for Prognosis Studies in the Rheumatic Diseases, Toronto Lupus Clinic, University Health Network, Toronto, Ontario. Canada.

Background: Systemic lupus erythematosus (SLE) is characterized by various clinical manifestations and immunologic abnormalities. Cardiovascular and respiratory system involvement are increasingly recognized as critical for patients' prognosis. In this review, current knowledge concerning diagnosis, pathogenesis and treatment of the cardiac and pulmonary lupus manifestations are discussed. Read More

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A case of autoimmune severe acquired von Willebrand syndrome (type 3-like).

Transfus Apher Sci 2017 Jun 27;56(3):431-433. Epub 2017 Apr 27.

Department of Pathology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-9072, USA.

Von Willebrand disease (VWD) is the most common congenital bleeding disorder and is due to quantitative or qualitative defects of von Willebrand factor (VWF). Acquired defects of VWF, termed acquired von Willebrand syndrome (AVWS), are due to a host of different mechanisms. Autoantibody-mediated AVWS may be associated with lymphoproliferative or immunological disorders, such as systemic lupus erythematosus (SLE). Read More

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Pericarditis and Pericardial Effusions in End-Stage Renal Disease.

Semin Dial 2016 09 26;29(5):366-73. Epub 2016 May 26.

Division of Nephrology, Tufts Medical Center, Boston, Massachusetts.

Pericarditis and pericardial effusions are not uncommon in patients with end-stage renal disease (ESRD). Etiologies include those found in the general population along with two entities unique to patients with kidney disease, namely uremic and dialysis-associated pericarditis. Uremic pericarditis has been arbitrarily defined as pericarditis that develops before or within 8 weeks of initiation of dialysis, while dialysis-associated pericarditis is used to define pericarditis in patients on dialysis for more than 8 weeks. Read More

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September 2016

Acute Effusive Pericarditis due to Horse Chestnut Consumption.

Am J Case Rep 2016 May 4;17:305-8. Epub 2016 May 4.

Department of Cardiology, Sakarya University Training and Research Hospital, Sakarya, Turkey.

Background: There are many well-known causes of pericardial effusion, such as cancer metastasis, bacterial or viral pericarditis, and uremic pericarditis; however, no reports exist in the literature demonstrating a pericardial effusion that led to cardiac tamponade following consumption of an herbal remedy.

Case Report: A 32-year-old male patient was referred to our cardiology outpatient clinic with a complaint of dyspnea. The patient's medical history was unremarkable; however, he had consumed 3 boxes of horse chestnut (Aesculus hippocastanum L) paste over the previous 1. Read More

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Development of Acute Pericarditis Associated with New-onset Rheumatoid Arthritis in a Diabetic Patient with Renal Impairment: The Elusive Nature of Uremia.

Intern Med 2016 15;55(8):955-9. Epub 2016 Apr 15.

Division of Nephrology, Department of Medicine, Jichi Medical University, Japan.

Uremic patients may have a variety of organ involvement, however, the precise causality may be impossible to determine in some cases because the symptoms of uremia are also associated with other diseases. With an emphasis on the elusive nature of uremia, we herein describe a 53-year-old man with preexisting renal impairment who developed acute pericarditis with deterioration of his renal function. Hemodialysis was immediately initiated on the presumption of uremia, however, articular symptoms emerged approximately a month later and led to a final diagnosis of rheumatoid arthritis, followed by successful withdrawal of hemodialysis. Read More

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November 2016

Pleuritic chest pain from portal hypertensive gastropathy in ESRD patient with autosomal dominant polycystic kidney disease misdiagnosed as pericarditis.

J Renal Inj Prev 2016 30;5(1):48-52. Epub 2016 Jan 30.

Department of Medicine, Nnamdi Azikiwe Teaching Hospital, Nnewi, Anambra State, Nigeria.

Portal hypertensive gastropathy (PHG) is a gastric mucosal lesion complicating portal hypertension, with higher prevalence in decompensated cirrhosis. PHG can sometimes complicate autosomal dominant polycystic kidney disease (ADPKD) due to the presence of multiple liver cysts. Besides, PHG is known to present as chest pain, with or without hematemesis. Read More

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[Effusive pericarditis: clinical and etiological aspects in Lomé].

Med Sante Trop 2016 Jan-Mar;26(1):92-6

Cardiologie, CHU-Campus, Lomé, Togo.

Objective: to describe the course and the etiologic, prognostic, and therapeutic aspects of effusive pericarditis (EP) in Togo. MATERIAL ANDMETHODS: Prospective and longitudinal study conducted at the cardiology department of Sylvanus Olympio Teaching Hospital of Lome from February 1, 2011, to January 31, 2014, of patients hospitalized for EP, confirmed by Doppler echocardiography.

Results: The study included 38 patients. Read More

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January 2017

Uremic pericarditis: a report of 30 cases and review of the literature.

Am J Case Rep 2015 Mar 22;16:169-73. Epub 2015 Mar 22.

Jerry L. Pettis Memorial Veterans Medical Center, Loma Linda University School of Medicine, Loma Linda, CA, USA.

Patient: Male, 71 • Male, 69 • . Female, 49.

Final Diagnosis: Uremic pericarditis. Read More

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