Prasanthi K, Nagamani K, Saxena N K
Department of Microbiology, Gandhi Medical College, Secunderabad - 500 003, India.
Indian J Med Microbiol. 2010 Jan-Mar;28(1):73-5. doi: 10.4103/0255-0857.58738.
Filariasis, a mosquito-borne disease, is wide spread in India. While laboratory diagnosis has been conventionally done by demonstrating microfilaria in peripheral blood smears, occasionally they are reported in various body fluids including pericardial fluid. We report the case of 33-year-old man with severe dyspnoea and chest pain, referred from a private nursing home with a provisional diagnosis of unresolving pericarditis. Pericardial tap revealed massive pericardial effusion with actively motile microfilariae. No microfilariae (Mf) were seen in the peripheral blood. Haemorrhagic effusion resolved completely with DEC. Though relatively uncommon, tropical diseases must always be considered in the etiological diagnosis of pericardial effusion.
丝虫病是一种由蚊子传播的疾病，在印度广泛流行。传统上，实验室诊断是通过在外周血涂片中发现微丝蚴来进行的，但偶尔也会在包括心包液在内的各种体液中发现它们。我们报告了一例33岁男性患者，因严重呼吸困难和胸痛从一家私人疗养院转诊而来，初步诊断为持续性心包炎。心包穿刺显示大量心包积液，伴有活动活跃的微丝蚴。外周血中未发现微丝蚴。出血性积液经乙胺嗪治疗后完全消退。尽管相对罕见，但在心包积液的病因诊断中，热带疾病必须始终被考虑在内。
