A case report of pleuro‐pericardial effusion in a patient on hemodialysis and a cardiac pacemaker

There are multiple causes of pleuro‐pericardial effusion (PPEF) and more so in a patient with end‐stage renal disease (ESRD). Postcardiac injury syndrome (PCIS) is a loosely defined term for occurrence of pericardial and/or pleural effusion (PLEF), low‐grade fever, with or without systemic upset, wh...

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Bibliographic Details
Published in:Seminars in dialysis 2021-07, Vol.34 (4), p.323-325
Main Authors: Jaryal, Ajay, Vikrant, Sanjay, Sarkar, Malay, Asotra, Sanjeev, Gupta, Dalip, Agarwal, Sahil
Format: Article
Language:English
Subjects:
Humans
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - therapy
Pacemaker, Artificial - adverse effects
Pericardial Effusion - diagnostic imaging
Pericardial Effusion - etiology
Pleural Effusion - diagnosis
Pleural Effusion - etiology
Pleural Effusion - therapy
Renal Dialysis - adverse effects
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Summary:There are multiple causes of pleuro‐pericardial effusion (PPEF) and more so in a patient with end‐stage renal disease (ESRD). Postcardiac injury syndrome (PCIS) is a loosely defined term for occurrence of pericardial and/or pleural effusion (PLEF), low‐grade fever, with or without systemic upset, which occurs after myocardial infarction (MI), and other cardiac interventions. PPEF is one of its salient manifestations. We report occurrence of PCIS, presenting as pericardial effusion and massive PLEF, after insertion of cardiac pacemaker in a patient with ESRD, on maintenance hemodialysis (MHD). It was successfully managed with a short course of oral steroids.
ISSN:0894-0959
1525-139X
DOI:10.1111/sdi.12996