Mastroianni A, Coronado O, Chiodo F
Istituto Malattie Infettive, Policlinico Sant'Orsola, Università di Bologna, Italy.
Eur J Epidemiol. 1997 Oct;13(7):755-9. doi: 10.1023/a:1007313902175.
Pericarditis is one of the most common cardiac complications in the course of HIV disease. Opportunistic infections and neoplastic processes represent the most common etiology of pericardial disease. Pericardial tuberculosis is an uncommon condition, especially in developed countries. Two cases of tuberculous pericarditis in adult patients with AIDS occurred over a 12-month period at our clinic, which prompted a literature review of the published cases of tuberculous pericarditis in AIDS. Of note is that in the first patient pericardial effusion represented the AIDS-defining illness and was an expression of a disseminated tuberculous disease. The second patient developed a fatal pericarditis due to a multiple-drug resistant Mycobacterium tuberculosis infection.
心包炎是人类免疫缺陷病毒（HIV）疾病过程中最常见的心脏并发症之一。机会性感染和肿瘤性病变是心包疾病最常见的病因。心包结核是一种罕见的病症，在发达国家尤为如此。在我们诊所，12个月内发生了两例成年艾滋病患者的结核性心包炎病例，这促使我们对已发表的艾滋病患者结核性心包炎病例进行文献综述。值得注意的是，首例患者的心包积液是艾滋病的定义性疾病，是播散性结核疾病的一种表现。第二例患者因多重耐药结核分枝杆菌感染发展为致命的心包炎。
