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Chest, Vol 99, 765-766, Copyright © 1991 by American College of Chest Physicians

ARTICLES

Pericarditis with tamponade due to cytomegalovirus in the acquired immunodeficiency syndrome

PE Nathan, EL Arsura and M Zappi
Department of Medicine, St. Vincent's Hospital, New York.

A 35-year-old male homosexual with AIDS presented with headache and fever and was found to have cryptococcal meningitis. During the patient's hospital course, his hemodynamic status deteriorated as a result of pericardial tamponade. Antemortem analysis of the fluid was unrevealing; however, postmortem examination of the pericardium revealed typical intranuclear inclusions of cytomegalovirus infection. Cytomegalovirus should be included in the differential diagnosis of pericardial effusion in patients with AIDS.


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Copyright © 1991 by the American College of Chest Physicians.