Just M, Raventós A, Romeu J, Larrousse E, Santos J, Ojanguren I
Servicio de Medicina Interna, Hospital Germans Trias i Pujol. Badalona, Universidad Autónoma, Barcelona.
Med Clin (Barc). 1994 Apr 9;102(13):495-7.
The case of a 31 year-old intravenous drug addict female patient with infection by the human immunodeficiency virus who had recurrent cardiac tamponade and who was diagnosed by pericardic biopsy as Kaposi's sarcoma is reported. The patient demonstrated involvement by cutaneous, mucosal, lymph node and probably pleuropulmonary Kaposi's sarcoma. Thoracic radiography, computerized tomography and echocardiography only showed the presence of pericardic effusion. Neither did the pericardic fluid obtained by pericardiocentesis provide any significant ethiologic data. Only the pericardic biopsy showed the typical lesions of Kaposi's sarcoma in this localization confirming diagnosis. This is the first case of pericardic Kaposi's sarcoma described in an alive patient and the difficulties of achieving the diagnosis of the cardiac involvement by Kaposi's sarcoma in AIDS patients are commented upon.
报告了一名31岁的静脉注射吸毒女性患者，她感染了人类免疫缺陷病毒，反复出现心脏压塞，经心包活检诊断为卡波西肉瘤。该患者表现为皮肤、黏膜、淋巴结受累，可能还有胸膜肺卡波西肉瘤。胸部X线摄影、计算机断层扫描和超声心动图仅显示有心包积液。心包穿刺抽取的心包液也未提供任何重要的病因学数据。只有心包活检显示该部位有卡波西肉瘤的典型病变，从而确诊。这是在一名存活患者中描述的首例心包卡波西肉瘤病例，并对艾滋病患者中卡波西肉瘤累及心脏的诊断困难进行了评论。
