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491 Possible Causes for Elevated Sedimentation Rate, Pericarditis, Pleural Effusion

  • Juvenile Onset Stills Disease

    Pericarditis or pleuritis are frequently observed in these patients as well.[] The most common laboratory abnormalities include: -greatly elevated sedimentation rate -leukocytosis (in most cases between 15,000-30,000, mainly neutrophiles) -thrombocytosis[] Visceral complications (pericarditis, pleural effusion or serous peritonitis with abdominal pain) may be present.[]

  • Streptococcal Infection

    Pancarditis is a rare condition with a poor prognosis combining endocarditis, myocarditis with abscess formation, and purulent pericarditis.[] The minor criteria include arthralgia, fever, elevated erythrocyte sedimentation rate, elevated C-reactive protein, or a prolonged PR interval [ 1 ].[] In patients with empyema or pleural effusion, decreased breath sounds and dullness on percussion are observed.[]

  • Systemic Lupus Erythematosus

    Although pericarditis is not an uncommon entity in autoimmune diseases such as systemic lupus erythematosus, purulent pericarditis is a rare cause ( 1%) of this presentation[] Initial labs showed pancytopenia, bandemia, proteinuria, elevated erythrocyte sedimentation rate, and elevated d-dimer.[] Eosinophilic pleural effusion in elderly patients is most commonly due to malignancies and infections.[]

  • Amebic Liver Abscess

    Herein, we describe a case of amebic liver abscess complicated with mediastinal abscess and amebic pericarditis with cardiac tamponade.[] Diagnostic Tests/Procedures Lab: anemia, leukocytosis, an elevated erythrocyte sedimentation rate, and abnormal liver function tests, especially an elevated serum alkaline[] Gross fluid derangements including pleural effusion, edema and ascities were observed in 39% cases and 6% had rupture of abscess.[]

  • Dressler Syndrome

    It consists of fever, pleuritic pain, pericarditis and/or a pericardial effusion.[] [2] Erythrocyte sedimentation rate (ESR) [4] ESR is raised in some patients due to pericardial inflammation.[] ) pleural effusion Pleural effusion may be bilateral Pleural effusions (83%) Parenchymal opacities (74%) Enlarged cardiac silhouette from pericardial effusion (49%) Differential[]

  • Systemic Amyloidosis

    We present a case of primary systemic amyloidosis causing constrictive pericarditis (CP) and congestive heart failure without clinical evidence of endomyocardial deposition[] Erythrocyte sedimentation rate may be elevated in patients with a monoclonal protein and both erythrocyte sedimentation rate and C-reactive protein may be elevated in patients[] Persistent pleural effusions are not common in patients with primary systemic amyloidosis (AL).[]

  • Pleurisy

    Read more on pericardial frictional rub under pericarditis symptoms .[] There were an elevated erythrocyte sedimentation rate, polyclonal hypergammaglobulinaemia, increased levels of acute phase proteins and anaemia.[] Four weeks later although her right sided pleural effusion was subsiding she developed a left sided pleural effusion.[]

  • Q Fever

    Meningoencephalitis, thyroiditis, pericarditis, myocarditis, mesenteric lymphadenopathy, hemolytic anemia, and nephritis are rare manifestations.[] Pneumopathy is mostly moderate but pleural effusion or acute respiratory distress may occur. Symptoms may last 10-90 days.[] Other less common features of acute Q fever include rashes, meningitis, myocarditis (inflammation of the heart muscle), and pericarditis (inflammation of heart lining).[]

  • Pneumococcal Pneumonia

    Purulent pericarditis is an exceptionally rare complication of pneumococcal pneumonia in infants but a rapidly fatal disease if left untreated.[] High C-reactive protein (CRP) ( 20 mg·dL(-1)) (odds ratio (OR) 2.36, 95% CI 1.45-3.85), pleural effusion (OR 2.03, 95% CI 1.13-3.65) and multilobar involvement (OR 1.69, 95%[] The incidence of purulent pericarditis has declined, however mortality remains high.[]

  • Paragonimiasis

    Pericarditis, lymphadenopathy, and omental inflammation were more common in our series than in reports on paragonimiasis from other regions.[] Laboratory investigations revealed peripheral blood eosinophilia, elevated erythrocyte sedimentation rate and sputum smear revealed eggs of Paragonimus westermani.[] The floating particles appeared as diffuse hyperechoic foci in the anechoic pleural effusion on ultrasonography.[]

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