A clinical case of a 21-year-old patient with idiopathic acute exudative pericarditis

WOŁOWIEC, Łukasz, ROGOWICZ, Daniel, BUJAK, Robert, CHOMA, Anna, JAŚNIAK, Albert, OSIAK, Joanna, WOŁOWIEC, Anna, GRZEŚK, Grzegorz and ZUKOW, Walery. A clinical case of a 21-year-old patient with idiopathic acute exudative pericarditis. Journal of Education, Health and Sport. 2023;15(1):67-76. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.15.01.009

https://apcz.umk.pl/JEHS/article/view/42121

https://zenodo.org/record/8117869

The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343.

Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences).

Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159.

Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).

© The Authors 2023;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

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Received: 06.05.2023. Revised: 14.05.2023. Accepted: 25.06.2023. Published: 05.07.2023.

A clinical case of a 21-year-old patient with idiopathic acute exudative pericarditis

Łukasz Wołowiec¹, Daniel Rogowicz¹, Robert Bujak¹, Anna Choma¹, Albert Jaśniak¹, Joanna Osiak¹, Anna Wołowiec², Grzegorz Grześk¹, Walery Zukow³.

¹Department of Cardiology and Clinical Pharmacology, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń, Poland

²Department of Geriatrics, Division of Biochemistry and Biogerontology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń, Poland

³Department of Physical Culture, Nicolaus Copernicus University, Torun, Poland

*Corresponding author Łukasz Wołowiec: lukaswolowiec111@gmail.com

Abstract

Pericarditis is a disease entity associated with the primary or secondary inflammation of its layers, which may be accompanied by the accumulation of fluid in the pericardial sac, the consequences of which depend mainly on the speed of its accumulation. The causes of pericardial diseases can be divided into infectious or non-infectious diseases, but in about 30% of cases the etiology of the disease cannot be determined. Pericarditis causes 5% of all emergency department visits related to non-ischemic chest pain.

In the study we presented a case of a 21-year-old Caucasian male with acute exudative pericarditis, which required drainage of the pericardial sac despite the use of pharmacological treatment. The patient underwent a wide range of diagnostic tests and specialist consultations, but ultimately the etiological factor of acute exudative pericarditis could not have been identified.

The therapy of acute exudative pericarditis, especially in the case of undetermined etiology, requires an individualized approach from the attending physician. Based on the observation of inflammatory parameters, imaging tests and clinical picture, the physician is to decide whether pericardiocentesis or modification of pharmacological treatment is necessary. Searching for the etiological factor is essential if it has an impact on the successive methods of diagnosis and treatment, especially in patients with recurrent idiopathic pericarditis or in the absence of a response to the therapy.

Keywords: idiopathic acute exudative pericarditis.