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Surgical management of pericarditis in Zaria, Nigeria
Over eight years, 58 rural Nigerians with pericarditis were treated surgically in Zaria using basic surgical facilities. Eighteen patients had purulent pericarditis, associated with staphylococcal pneumonia in children, or pneumococcal pneumonia in adults. Treatment with antibiotics and prompt peric...
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Published in: | Thorax 1981-08, Vol.36 (8), p.590-595 |
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creator | Mabogunje, O A Adesanya, C O Khwaja, M S Lawrie, J H Edington, G M |
description | Over eight years, 58 rural Nigerians with pericarditis were treated surgically in Zaria using basic surgical facilities. Eighteen patients had purulent pericarditis, associated with staphylococcal pneumonia in children, or pneumococcal pneumonia in adults. Treatment with antibiotics and prompt pericardiectomy appeared to be superior to drainage, since a quarter of those initially treated with surgical drainage developed early constriction and required pericardiectomy soon after. Thirteen patients had chronic pericardial effusions, of whom one had epicardial constriction and two had cardiomyopathy. Twenty-seven patients had chronic constrictive pericarditis but tuberculosis was confirmed histologically in three only. Echocardiographic findings remained unchanged in five patients evaluated before and after pericardiectomy. Eight of the 13 patients who died had already developed myocardial or hepatic insufficiency before operation, because of late presentation or diagnosis. Greater awareness of the significance of precordial pain in this rural population where ischaemic heart disease is rare would help in making an earlier diagnosis. |
doi_str_mv | 10.1136/thx.36.8.590 |
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Eighteen patients had purulent pericarditis, associated with staphylococcal pneumonia in children, or pneumococcal pneumonia in adults. Treatment with antibiotics and prompt pericardiectomy appeared to be superior to drainage, since a quarter of those initially treated with surgical drainage developed early constriction and required pericardiectomy soon after. Thirteen patients had chronic pericardial effusions, of whom one had epicardial constriction and two had cardiomyopathy. Twenty-seven patients had chronic constrictive pericarditis but tuberculosis was confirmed histologically in three only. Echocardiographic findings remained unchanged in five patients evaluated before and after pericardiectomy. Eight of the 13 patients who died had already developed myocardial or hepatic insufficiency before operation, because of late presentation or diagnosis. 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Eighteen patients had purulent pericarditis, associated with staphylococcal pneumonia in children, or pneumococcal pneumonia in adults. Treatment with antibiotics and prompt pericardiectomy appeared to be superior to drainage, since a quarter of those initially treated with surgical drainage developed early constriction and required pericardiectomy soon after. Thirteen patients had chronic pericardial effusions, of whom one had epicardial constriction and two had cardiomyopathy. Twenty-seven patients had chronic constrictive pericarditis but tuberculosis was confirmed histologically in three only. Echocardiographic findings remained unchanged in five patients evaluated before and after pericardiectomy. Eight of the 13 patients who died had already developed myocardial or hepatic insufficiency before operation, because of late presentation or diagnosis. Greater awareness of the significance of precordial pain in this rural population where ischaemic heart disease is rare would help in making an earlier diagnosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Nigeria</subject><subject>Pericardial Effusion - surgery</subject><subject>Pericarditis - pathology</subject><subject>Pericarditis - surgery</subject><subject>Pericarditis, Constrictive - surgery</subject><issn>0040-6376</issn><issn>1468-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1981</creationdate><recordtype>article</recordtype><recordid>eNp9kbtv2zAQxomgheM8tq4BBBRolkjhSyQ1dGic1g1gJAjidOhCnCTKpquHS0pB8t-XgQyj7ZDpAH6_O353H0IfCE4IYeKyXz8nTCQqSTN8gKaECxUzmol3aIoxx7FgUhyiI-83GGNFiJygiWSEY8amKH0Y3MoWUEcNtLAyjWn7qKuirXHh1ZW2tz6ybfQTnIWL6NauggAn6H0FtTenu3qMHr99Xc6-x4u7-c3syyLOuRR9LEpJDDCJ0xLjCoBhnOUlpUwVvCQZUDCkpKAM5YpXKZEFL6AyikqSZ4yW7Bh9Huduh7wxZRHMOaj11tkG3IvuwOp_ldau9ap70lySsHbo_7Trd93vwfheN9YXpq6hNd3gtWSKB1M4gB__Azfd4NqwmyZSknBNQV_HXYxU4Trvnan2TgjWr1nokIUORemQRcDP_na_h3fHD3o86tb35nkvg_ulhWQy1bc_Zno5F_Or-9m1FoE_H_m82bz98x8hnKBe</recordid><startdate>19810801</startdate><enddate>19810801</enddate><creator>Mabogunje, O A</creator><creator>Adesanya, C O</creator><creator>Khwaja, M S</creator><creator>Lawrie, J H</creator><creator>Edington, G M</creator><general>BMJ Publishing Group Ltd and British Thoracic Society</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19810801</creationdate><title>Surgical management of pericarditis in Zaria, Nigeria</title><author>Mabogunje, O A ; Adesanya, C O ; Khwaja, M S ; Lawrie, J H ; Edington, G M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b476t-6d71ea3705d00faa3009bd2238c4d19a2ae1d2a8e2484f517c4cafe8271b932d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1981</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Chronic Disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Nigeria</topic><topic>Pericardial Effusion - surgery</topic><topic>Pericarditis - pathology</topic><topic>Pericarditis - surgery</topic><topic>Pericarditis, Constrictive - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mabogunje, O A</creatorcontrib><creatorcontrib>Adesanya, C O</creatorcontrib><creatorcontrib>Khwaja, M S</creatorcontrib><creatorcontrib>Lawrie, J H</creatorcontrib><creatorcontrib>Edington, G M</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Thorax</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mabogunje, O A</au><au>Adesanya, C O</au><au>Khwaja, M S</au><au>Lawrie, J H</au><au>Edington, G M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical management of pericarditis in Zaria, Nigeria</atitle><jtitle>Thorax</jtitle><addtitle>Thorax</addtitle><date>1981-08-01</date><risdate>1981</risdate><volume>36</volume><issue>8</issue><spage>590</spage><epage>595</epage><pages>590-595</pages><issn>0040-6376</issn><eissn>1468-3296</eissn><coden>THORA7</coden><abstract>Over eight years, 58 rural Nigerians with pericarditis were treated surgically in Zaria using basic surgical facilities. Eighteen patients had purulent pericarditis, associated with staphylococcal pneumonia in children, or pneumococcal pneumonia in adults. Treatment with antibiotics and prompt pericardiectomy appeared to be superior to drainage, since a quarter of those initially treated with surgical drainage developed early constriction and required pericardiectomy soon after. Thirteen patients had chronic pericardial effusions, of whom one had epicardial constriction and two had cardiomyopathy. Twenty-seven patients had chronic constrictive pericarditis but tuberculosis was confirmed histologically in three only. Echocardiographic findings remained unchanged in five patients evaluated before and after pericardiectomy. Eight of the 13 patients who died had already developed myocardial or hepatic insufficiency before operation, because of late presentation or diagnosis. Greater awareness of the significance of precordial pain in this rural population where ischaemic heart disease is rare would help in making an earlier diagnosis.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Thoracic Society</pub><pmid>7314033</pmid><doi>10.1136/thx.36.8.590</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Child Child, Preschool Chronic Disease Female Follow-Up Studies Humans Infant Male Nigeria Pericardial Effusion - surgery Pericarditis - pathology Pericarditis - surgery Pericarditis, Constrictive - surgery |
title | Surgical management of pericarditis in Zaria, Nigeria |
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