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Chylous ascites and chylothorax due to constrictive pericarditis in a patient infected with HIV: a case report
Chylothorax and chylous ascites are uncommon and usually associated with trauma or neoplasms. To the best of our knowledge, constrictive pericarditis leading to chylothorax and chylous ascites in a person infected with HIV has never previously been described. A 39-year-old Thai man was referred to o...
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| Published in: | Journal of medical case reports 2012-06, Vol.6 (1), p.163-163, Article 163 |
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| Main Authors: | , , , |
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| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-b5313-319141cd2110a2c254626c362f99d95be180a3453ad759065484f8659733deb63 |
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| cites | cdi_FETCH-LOGICAL-b5313-319141cd2110a2c254626c362f99d95be180a3453ad759065484f8659733deb63 |
| container_end_page | 163 |
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| container_start_page | 163 |
| container_title | Journal of medical case reports |
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| creator | Summachiwakij, Sarawut Tungsubutra, Wiwun Koomanachai, Pornpan Charoenratanakul, Suchai |
| description | Chylothorax and chylous ascites are uncommon and usually associated with trauma or neoplasms. To the best of our knowledge, constrictive pericarditis leading to chylothorax and chylous ascites in a person infected with HIV has never previously been described.
A 39-year-old Thai man was referred to our institute with progressive dyspnea, edema and abdominal distension. His medical history included HIV infection and pulmonary tuberculosis that was complicated by tuberculous pericarditis and cardiac tamponade. Upon further investigation, we found constrictive pericarditis, chylothorax and chylous ascites. A pericardiectomy was performed which resulted in gradual resolution of the ascites and chylous effusion.
Although constrictive pericarditis is an exceptionally rare cause of chylothorax and chylous ascites, it should nonetheless be considered in the differential diagnosis as a potentially reversible cause. |
| doi_str_mv | 10.1186/1752-1947-6-163 |
| format | article |
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A 39-year-old Thai man was referred to our institute with progressive dyspnea, edema and abdominal distension. His medical history included HIV infection and pulmonary tuberculosis that was complicated by tuberculous pericarditis and cardiac tamponade. Upon further investigation, we found constrictive pericarditis, chylothorax and chylous ascites. A pericardiectomy was performed which resulted in gradual resolution of the ascites and chylous effusion.
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A 39-year-old Thai man was referred to our institute with progressive dyspnea, edema and abdominal distension. His medical history included HIV infection and pulmonary tuberculosis that was complicated by tuberculous pericarditis and cardiac tamponade. Upon further investigation, we found constrictive pericarditis, chylothorax and chylous ascites. A pericardiectomy was performed which resulted in gradual resolution of the ascites and chylous effusion.
Although constrictive pericarditis is an exceptionally rare cause of chylothorax and chylous ascites, it should nonetheless be considered in the differential diagnosis as a potentially reversible cause.</description><subject>Ascites</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case studies</subject><subject>Diagnosis</subject><subject>Health aspects</subject><subject>HIV (Viruses)</subject><subject>HIV infection</subject><subject>HIV patients</subject><subject>Infection</subject><subject>Pericarditis</subject><subject>Tuberculosis</subject><issn>1752-1947</issn><issn>1752-1947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp1ks9vFCEUxydGY2v17M2QmBgv08Lwa_DQpG7UbtLEi3olDLzZoZkdVmCr_e9l3LrZTWo4AO99-cDj-6rqNcHnhLTigkje1EQxWYuaCPqkOt1Hnh6sT6oXKd1izEWr6PPqpGkkbRvJTqtpMdyPYZuQSdZnKPPkkJ1jeQjR_EZuCygHZMOUcvQ2-ztAGygrE53PPiE_IYM2JnuYctn0YDM49MvnAV0vf3woSWsSoAibEPPL6llvxgSvHuaz6vvnT98W1_XN1y_LxdVN3XFKaE2JIoxY1xCCTWMbzkQjLBVNr5RTvAPSYkMZp8ZJrrDgrGV9K7iSlDroBD2rljuuC-ZWb6Jfm3ivg_H6byDElTYxezuCJq3iIBzvqZSsa5RpMRaO0HKbayllhXW5Y2223RqcLXVGMx5BjzOTH_Qq3GnKsJRcFsDHHaDz4T-A44wNaz17p2fvtNDF2QJ5__CKGH5uIWW99snCOJoJin-aYMqkapnkRfp2J12ZUl-xJBSqneX6ilPGpCBi_qLzR1RlOFj7Yjf0vsSPDrw7ODCAGfOQwrjNvvTGsfBiJ7QxpBSh35dKsJ7b9pHi3hx-8V7_r0_pHzAt5Vg</recordid><startdate>20120627</startdate><enddate>20120627</enddate><creator>Summachiwakij, Sarawut</creator><creator>Tungsubutra, Wiwun</creator><creator>Koomanachai, Pornpan</creator><creator>Charoenratanakul, Suchai</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20120627</creationdate><title>Chylous ascites and chylothorax due to constrictive pericarditis in a patient infected with HIV: a case report</title><author>Summachiwakij, Sarawut ; Tungsubutra, Wiwun ; Koomanachai, Pornpan ; Charoenratanakul, Suchai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b5313-319141cd2110a2c254626c362f99d95be180a3453ad759065484f8659733deb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Ascites</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Case studies</topic><topic>Diagnosis</topic><topic>Health aspects</topic><topic>HIV (Viruses)</topic><topic>HIV infection</topic><topic>HIV patients</topic><topic>Infection</topic><topic>Pericarditis</topic><topic>Tuberculosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Summachiwakij, Sarawut</creatorcontrib><creatorcontrib>Tungsubutra, Wiwun</creatorcontrib><creatorcontrib>Koomanachai, Pornpan</creatorcontrib><creatorcontrib>Charoenratanakul, Suchai</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>Journal of medical case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Summachiwakij, Sarawut</au><au>Tungsubutra, Wiwun</au><au>Koomanachai, Pornpan</au><au>Charoenratanakul, Suchai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chylous ascites and chylothorax due to constrictive pericarditis in a patient infected with HIV: a case report</atitle><jtitle>Journal of medical case reports</jtitle><addtitle>J Med Case Rep</addtitle><date>2012-06-27</date><risdate>2012</risdate><volume>6</volume><issue>1</issue><spage>163</spage><epage>163</epage><pages>163-163</pages><artnum>163</artnum><issn>1752-1947</issn><eissn>1752-1947</eissn><abstract>Chylothorax and chylous ascites are uncommon and usually associated with trauma or neoplasms. To the best of our knowledge, constrictive pericarditis leading to chylothorax and chylous ascites in a person infected with HIV has never previously been described.
A 39-year-old Thai man was referred to our institute with progressive dyspnea, edema and abdominal distension. His medical history included HIV infection and pulmonary tuberculosis that was complicated by tuberculous pericarditis and cardiac tamponade. Upon further investigation, we found constrictive pericarditis, chylothorax and chylous ascites. A pericardiectomy was performed which resulted in gradual resolution of the ascites and chylous effusion.
Although constrictive pericarditis is an exceptionally rare cause of chylothorax and chylous ascites, it should nonetheless be considered in the differential diagnosis as a potentially reversible cause.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>22738274</pmid><doi>10.1186/1752-1947-6-163</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1752-1947 |
| ispartof | Journal of medical case reports, 2012-06, Vol.6 (1), p.163-163, Article 163 |
| issn | 1752-1947 1752-1947 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_1895e6d5f3774b29a8006d13362d8334 |
| source | IngentaConnect Journals; PubMed Central |
| subjects | Ascites Care and treatment Case Report Case studies Diagnosis Health aspects HIV (Viruses) HIV infection HIV patients Infection Pericarditis Tuberculosis |
| title | Chylous ascites and chylothorax due to constrictive pericarditis in a patient infected with HIV: a case report |
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