Digitalis poisoning in a case of hyperthyroidism.
نویسنده
چکیده
the pericardial cavity completely. The cutoff indicated basal penicardial adhesions in addition to effusion;4 angulation of the penicardial sac also indicated further pericardial scarring, and the reduced capacity of the pericardial cavity suggested the presence of constriction.1 Moreover, the presence of basal adhesions was misleading etiologically because they have been considered characteristic of tuberculous penicarditis-a notorious cause of serious tamponade and of constriction. Etiologic diagnosis of the condition was at first an enigma. Initially, bloody fluid is characteristic of many patients with tamponade of different etiologies and, in our experience, is of no particular diagnostic help.2’4 Bacteriologic examination of the fluid was negative. However, the stnildngly high level of LDH in the fluid as compared to the serum LDH (Table i) strongly pointed to malignancy, although some disparity may be found in other conditions. The relatively low level of cholesterol tended to rule out “cholesterol pericarditis” which, in any event, probably is a secondary lesion. Tissue obtained at thoracotomy left no doubt as to the cause. ACKNOWLEDGMENT: The authors acknowledge with gratitude the contributions of Dr. George Curtis, who made the pathologic observations, and of Drs. John Lloyd, Harry Soroff and Albert Ishihara, who performed the pencardiectomy.
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شناسایی گلیکوزیدهای قلبی گونه دیژیتال ایران به روش HPLC
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عنوان ژورنال:
- Diseases of the chest
دوره 54 1 شماره
صفحات -
تاریخ انتشار 1968