The Unusual Cause of Cardiac Tamponade

Mohd Khairi Othman; Zurkurnai Yusof; Siti Aisyah Hussin; Norashikin Samsudin; Alwi B Muhd Besari; W Yus Haniff W Isa

doi:10.1016/j.jaccas.2022.07.016

The Unusual Cause of Cardiac Tamponade

JACC Case Rep. 2022 Oct 5;4(19):1288-1291. doi: 10.1016/j.jaccas.2022.07.016.

Authors

Mohd Khairi Othman^{1

2}, Zurkurnai Yusof^{1

2}, Siti Aisyah Hussin^{1

2}, Norashikin Samsudin^{3

4}, Alwi B Muhd Besari^{2

5}, W Yus Haniff W Isa^{1

2}

Affiliations

¹ Cardiology Unit, Department of Internal Medicine, Hospital Universiti Sains Malaysia, Kelantan, Malaysia.
² School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
³ Department of Microbiology and Parasitology, Universiti Sains Malaysia, Kelantan, Malaysia.
⁴ Department of Pathology, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
⁵ Department of Internal Medicine, Hospital Universiti Sains Malaysia, Kelantan, Malaysia.

Abstract

We present a previously healthy young man with cardiac tamponade. He underwent emergency pericardiocentesis. The pericardial fluid was exudative, and Salmonella sp. was grown on both pericardial and blood cultures. Further investigations revealed that this patient had classical Hodgkin lymphoma, which explains his immunocompromised state predisposing him to this infection. (Level of Difficulty: Advanced.).

Keywords: ECG, electrocardiogram; LDH, lactate acid dehydrogenase; RV, right ventricular; cardiac tamponade; classical Hodgkin Lymphoma; massive pericardial effusion; salmonellosis.

Publication types

Case Reports