0
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.
Text Size: A A A
Published online

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

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();