Hemodialysis-Related Pericarditis With Cardiac Tamponade

Pericarditis can cause chest symptoms in dialysis patients. Moreover, it tends to present with various symptoms other than chest pain in patients with end-stage renal disease (ESRD) than in non-ESRD patients. Here, we present the case of an 86-year-old man on maintenance dialysis who was admitted to...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-05, Vol.14 (5), p.e24748
Main Authors: Watase, Hirara, Oka, Kohei, Yamane, Fumiko, Sano, Chiaki, Ohta, Ryuichi
Format: Article
Language:English
Subjects:
Antigens
Blood tests
Cardiology
Case reports
Catheters
Dehydrogenases
Drainage
Dyspnea
Electrocardiography
Family/General Practice
Fever
Heart failure
Hemodialysis
Hepatitis B
Immunoglobulins
Inflammation
Ischemia
Kidney diseases
Kinases
Laboratories
Nephrology
Neutrophils
Pain
Patients
Peptides
Pericarditis
Proteins
Severe acute respiratory syndrome coronavirus 2
Syphilis
Thyroid gland
Tomography
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Summary:Pericarditis can cause chest symptoms in dialysis patients. Moreover, it tends to present with various symptoms other than chest pain in patients with end-stage renal disease (ESRD) than in non-ESRD patients. Here, we present the case of an 86-year-old man on maintenance dialysis who was admitted to the hospital with chest discomfort and dyspnea, which led to cardiac tamponade due to unexplained pericardial effusion. The patient underwent pericardial drainage with an epigastric approach. Based on his medical history and pericardial fluid examination, his condition was diagnosed as dialysis-related pericarditis. Non-steroidal anti-inflammatory drugs and prednisolone administration improved the patient's condition. There are various causes of pericarditis in patients undergoing hemodialysis. It is crucial to examine the patient's clinical presentation and pericardial fluid volume to clarify the cause of the disease.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.24748