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Prospectively, clinical and biochemical data of 83 patients with a diagnosis of pericardial effusion were studied. The etiologies were as follows: Idiopathic: 42 cases(50% ); Tuberculous: 18 cases(22% ); Neoplastic: 14 cases(17% ); Other: 9 cases(11% ) with a miscellaneous etiology. Sedimentation rate resulted significantly higher in Tuberculous group(67-102), p< 0.05. The highest values of adenosine deaminase in pericardial fluid were observed in Tuberculous group(110 U/l), p< 0.001. Diagnosis of tuberculosis was established by culture of the bacillus in sputum in 8 cases and by pericardial biopsy in 11 patients. Analysis of the pericardial fluid leads to diagnosis in 25 cases(30% ). The pericardial biopsy resulted as the most reliable method for the diagnosis of tuberculous pericarditis.
Prospectively, clinical and biochemical data of 83 patients with a diagnosis of pericardial effusion were studied. Itiopathic: 42 cases (50%); Tuberculous: 18 cases (22%); Neoplastic: 14 cases ; Sedimentation rate resulting significantly higher in Tuberculous group (67-102), p <0.05. The highest values of adenosine deaminase in pericardial fluid were observed in Tuberculous group (110 U / l), p <0.001. Diagnosis of tuberculosis was established by culture of the bacillus in sputum in 8 cases and by pericardial biopsy in 11 patients. Analysis of the pericardial fluid leads to diagnosis in 25 cases (30%). The pericardial biopsy resulted in 11 patients. as the most reliable method for the diagnosis of tuberculous pericarditis.