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Pediatric emergency care · Sep 2017
Case ReportsMassive Pericardial Effusion and Tamponade Can Be a First Sign of Familial Mediterranean Fever.
- Tamer Yoldaş, Şeyma Kayali, İlker Ertuğrul, Vehbi Doğan, Utku Arman Örün, and Selmin Karademir.
- From the Department of Cardiology, Dr Sami Ulus Maternity, Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
- Pediatr Emerg Care. 2017 Sep 1; 33 (9): e48-e51.
AbstractCardiac involvement is a rare initial presentation of familial Mediterranean fever (FMF). We described 2 children with massive pericardial effusion and cardiac tamponade, who were later diagnosed as having FMF based on clinical and laboratory findings. Therefore, in children presenting with massive pericardial effusion, FMF should be considered as one of the differential diagnoses. In addition, massive pericardial effusion is a serious clinical condition that requires emergency therapeutic approach including pericardiocenthesis. For medical treatment, colchicine is the first line therapy, but in resistant cases, other anti-inflammatory drugs can be used for extra anti-inflammatory effect.
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