Kansenshogaku Zasshi
Online ISSN : 1884-569X
Print ISSN : 0387-5911
ISSN-L : 0387-5911
A Case of Vietnamese Immigrant with Tuberculous Mediastinopericarditis
Takehiko SOYoshihiko WATANABEOsamu OHYAMASachihiko NOBUOKATakehiko HIRAYAMAFumihiko MIYAKEMasahiro MURAYAMAJiro SUGAIYoshio KOBAYASHI
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1990 Volume 64 Issue 2 Pages 218-223

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Abstract

A case of vietnamese immigrant with tuberculous mediastinopericarditis was reported and the literature was reviewed. A 39 year-old man was admitted to our hospital with chief complaints of dyspnea and weakness. Blood chemistry suggested the existence of congestive liver dysfunction. Chest X-ray film revealed marked cardiomegaly and a abnormal mass in the anteriorlysuperior area which was confirmed as anterior mediastinum on CT scan. Echocardiogram disclosed a large. volume of pericardial effusion and thickened pericardium. Tuberculin test was positive.
Firstly, this mediastinal mass was believed to be malignant tumor and the pericardial effusion had originated from it. Finally, tuberculous mediastinopericarditis was diagnosed by detecting tuberculous mycobacterium from the cultured pericardial effusion and also thebiopsied lymphnode. Although occurrence of tuberculous mediastinopericarditis is rare at the present time in Japan, this disease has not been exterminated and should be kept in mind.

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© The Japansese Association for Infectious Diseases
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