Here's the rub: A case of constrictive pericarditis in an adult with cystic fibrosis

• Type of Material: Article
• Authors: Matthew T Brown, J Willis Hurst Internal Medicine Residency Program; Ashley C McDowell, J Willis Hurst Internal Medicine Residency Program; Stephen D Clements Jr, Emory University; Daniel Dressler, Emory University
• Language: English
• Date: 2021-01-01
• Publisher: Elsevier Ltd
• Publication Version: Final Published Version
• Copyright Statement: Published by Elsevier Ltd.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.rmcr.2021.101434
• Title of Journal or Parent Work: Respiratory Medicine Case Reports
• Volume: 33
• Start Page: 101434
• End Page: 101434
• Grant/Funding Information: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
• Keywords: Pericardial effusion; Annulus paradoxus; Annulus reversus; Constrictive; Cardiac magnetic resonance; Echocardiography
• Research Categories: Health Sciences, Medicine and Surgery

Abstract

We present a rare coexistence of constrictive pericarditis in a patient with cystic fibrosis. Careful attention to cardiac friction rub auscultated on initial examination prompted echocardiography revealing constrictive pericarditis further confirmed by cardiac magnetic resonance imaging that allowed for dedicated treatment in addition to management of his concurrent respiratory infection.