| CASE REPORT |
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| Year : 2015 | Volume
: 16
| Issue : 2 | Page : 53-55 |
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Recurrent hemorrhagic pericardial effusion and tamponade due to filariasis successfully treated with ivermectin and albendazole
Santosh Kumar Sinha, Amit Goel, Mohit Sachan, Sameer Saraf, Chandra Mohan Verma
GSVM Medical College, Kanpur, Uttar Pradesh, India
Correspondence Address:
Dr. Santosh Kumar Sinha
4 Prabhu Bandana Apartment 9/62 Arya Nagar, Kanpur, Uttar Pradesh - 208 002
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1995-705X.159220
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Filariasis presenting with pericardial effusion with tamponade is rare. We report a case of a 30-year-old female who was admitted with severe dyspnea and chest pain since 2 days. Echocardiogram showed massive pericardial effusion with tamponade. Pericardial fluid aspiration drained 1.2 L of hemorrhagic fluid. Cytology examination revealed microfilaria of Wuchereria bancrofti. She was treated with diethyl carbamazine and discharged. Six weeks later, she presented again with massive pericardial effusion with cardiac tamponade. Pericardiocentesis was done. Cytology examination revealed microfilaria of W. bancrofti. This time she was treated with ivermectin and albendazole and cured. Hemorrhagic effusion resolved completely. Though relatively uncommon, tropical diseases must always be considered in the etiological diagnosis of recurrent pericardial effusion. |
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