Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
BMJ Case Rep. 2022 Nov 22;15(11):e252090. doi: 10.1136/bcr-2022-252090.
Brucellosis is one of the most common zoonotic infections with worldwide distribution. The clinical presentation of brucellosis ranges from asymptomatic to severe disease involving haematological, gastrointestinal, neurological and osteoarticular systems. Cardiovascular manifestations are rare in brucellosis cases with endocarditis being the most common presentation. Isolated pericarditis with massive pericardial effusion without endocarditis is extremely rare. Here, we describe a case of brucellosis with sole manifestation of pericarditis with massive pericardial effusion in a patient with end stage renal disease diagnosed based on the isolation of from pericardial fluid.
布鲁氏菌病是一种分布广泛的最常见的动物源性传染病。布鲁氏菌病的临床表现从无症状到累及血液、胃肠道、神经和骨关节炎系统的严重疾病不等。心血管表现较为少见，其中心内膜炎是最常见的表现。无心内膜炎的单纯性大量心包积液性心包炎极为罕见。在这里，我们描述了一例终末期肾病患者的布鲁氏菌病，其唯一表现为心包炎伴大量心包积液，该患者基于心包液中分离出 而确诊。
