Pericarditis

Last updated: Friday, 21, January, 2011
Key InformationAppropriate Tests

Infection

Viral infection

  • Enterovirus

Throat swab, faeces - virus detection, culture.

Enterovirus antibodies are not useful clinically.

Bacterial infection

  • Tuberculous
  • Purulent

Microscopy and culture (including  AFB) of pericardial fluid.

See Tuberculosis

Protozoal infection, especially

  • Entamoeba histolytica

 

See Amoebiasis

Immune disorders

Rheumatic fever

Connective tissue diseases, especially

Post-myocardial infarction

Myocardial antibodies are not clinically useful.

Post-cardiotomy syndrome

Myocardial antibodies are not clinically useful.

Malignant invasion

Pericardial fluid - cytology, protein, microscopy and culture; pericardial biopsy occasionally helpful.

Carcinoma (metastatic)

Lymphoma

Other

Post-irradiation

Myocardial infarction

Renal failure