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Case Reports |

CLINICALLY MANIFEST TUBERCULOUS PERICARDITIS:  REPORT OF A CASE WITH OBSERVATIONS ON CIRCULATORY CHANGES

RALPH V. PLATOU, M.D.
Am J Dis Child. 1939;57(6):1386-1397. doi:10.1001/archpedi.1939.01990060166014.
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Tuberculosis of the pericardium is not an unusual observation at necropsy,1 particularly in cases of advanced disseminated tuberculosis; but the presence of clinically manifest, or clinically primary, tuberculous pericarditis is unusual in adults and rare in children.2 Recognition of this lesion during life has led to a small number of observations on the effects of increased intrapericardial pressure on various circulatory phenomena;3 that these phenomena are sometimes peculiar and not altogether in accord with those produced by experimental cardiac tamponade4 is understandable when one keeps in mind that the pathologic changes in the visceral and parietal pericardial membranes complicate the physiologic alterations produced by excess pericardial fluid alone. The majority of writers have felt that the most satisfactory treatment for this condition, in addition to the familiar measures used against any active tuberculous infection, consists of paracenteses, performed as frequently as necessary for the relief of

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