Exudative pericarditis with tamponade after COVID-19. Case report

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Abstract

A description of a COVID-19 patient with the development of exudative pericarditis complicated by cardiac tamponade is provid. A peculiarity of this case is the presence of an underlying disease in the patient (chronic lymphocytic leukemia), which was in remission for 1.5 years after chemotherapy. Another feature of the patient was the relatively small area of lung damage and the hemorrhagic nature of the pericardial effusion, which persisted for a long time. The insignificant activity of inflammatory markers was noteworthy. Possible mechanisms of development and features of the course of exudative pericarditis in the described patient, issues of diagnosis and treatment of this category of patients are discusse.

About the authors

Leonid I. Dvoretsky

Sechenov First Moscow State Medical University (Sechenov University)

Email: dvoretski@mail.ru
ORCID iD: 0000-0003-3186-0102

доктор медицинских наук, профессор, профессор кафедры госпитальной терапии №2 Института клинической медицины имени Н.В. Склифосовского

Russian Federation, Moscow

Svetlana A. Rachina

Sechenov First Moscow State Medical University (Sechenov University)

Email: dvoretski@mail.ru
ORCID iD: 0000-0002-3329-7846

профессор РАН, доктор медицинских наук, профессор, зав. кафедры госпитальной терапии №2 Института клинической медицины имени Н.В. Склифосовского

Russian Federation, Moscow

Maria G. Poltavskaya

Sechenov First Moscow State Medical University (Sechenov University)

Email: dvoretski@mail.ru
ORCID iD: 0000-0003-4463-2897

доктор медицинских наук, профессор кафедры кардиологии, функциональной и ультразвуковой диагностики

Russian Federation, Moscow

Denis A. Andreev

Sechenov First Moscow State Medical University (Sechenov University)

Email: dvoretski@mail.ru
ORCID iD: 0000-0002-0276-7374

доктор медицинских наук, профессор, зав. кафедры кардиологии, функциональной и ультразвуковой диагностики

Russian Federation, Moscow

Elena V. Tarykina

Yudin City Clinical Hospital

Email: dvoretski@mail.ru
ORCID iD: 0009-0007-2529-3371

зав. терапевтическим отделением

Russian Federation, Москва

Natalya A. Plaksina

Sechenov First Moscow State Medical University (Sechenov University)

Email: dvoretski@mail.ru
ORCID iD: 0000-0003-3782-0769

врач-кардиолог Университетской клинической больницы №1

Russian Federation, Moscow

Vadim V. Minaev

Sechenov First Moscow State Medical University (Sechenov University)

Email: dvoretski@mail.ru

кандидат медицинских наук, кардиохирург Университетской клинической больницы

Russian Federation, Moscow

Angelina V. Terekhova

Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine

Author for correspondence.
Email: dvoretski@mail.ru
ORCID iD: 0000-0002-5294-6055

врач-кардиолог

Russian Federation, Moscow

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Supplementary files

Supplementary Files
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2. Fig. 1. Electrocardiogram of patient K.

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3. Fig. 2. Echocardiogram of patient K.

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4. Fig. 3. X-ray of the chest organs of patient K.

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5. Fig. 4. Computer tomogram of patient K.’s heart: a, b – axial projection; c – coronal projection; d – sagittal projection.

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