Pericarditis with tamponade due to cytomegalovirus in the acquired immunodeficiency syndrome.

Nathan, P E; Arsura, E L; Zappi, M · Chest · 1991

case_report · Level V

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Abstract

A 35-year-old male homosexual with AIDS presented with headache and fever and was found to have cryptococcal meningitis. During the patient's hospital course, his hemodynamic status deteriorated as a result of pericardial tamponade. Antemortem analysis of the fluid was unrevealing; however, postmortem examination of the pericardium revealed typical intranuclear inclusions of cytomegalovirus infection. Cytomegalovirus should be included in the differential diagnosis of pericardial effusion in patients with AIDS.

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