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REPORT OF A CASE WITH OBSERVATIONS ON CIRCULATORY CHANGES

RALPH V. PLATOU, M.D.

Am J Dis Child. 1939;57(6):1386-1397.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Tuberculosis of the pericardium is not an unusual observation at necropsy,¹ particularly in cases of advanced disseminated tuberculosis; but the presence of clinically manifest, or clinically primary, tuberculous pericarditis is unusual in adults and rare in children.² Recognition of this lesion during life has led to a small number of observations on the effects of increased intrapericardial pressure on various circulatory phenomena;³ that these phenomena are sometimes peculiar and not altogether in accord with those produced by experimental cardiac tamponade⁴ is understandable when one keeps in mind that the pathologic changes in the visceral and parietal pericardial membranes complicate the physiologic alterations produced by excess pericardial fluid alone. The majority of writers have felt that the most satisfactory treatment for this condition, in addition to the familiar measures used against any active tuberculous infection, consists of paracenteses, performed as frequently as necessary for the relief of . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

From the Department of Diseases of Children, College of Physicians and Surgeons, Columbia University, and the Babies Hospital.

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