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

• 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
• Journal Title: Respiratory Medicine Case Reports
• Volume: Volume 33
• Publisher: Elsevier Ltd | 2021-01-01, Pages 101434-101434
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1016/j.rmcr.2021.101434
• Subjects: Health Sciences, Medicine and Surgery
• Keywords: Annulus paradoxus; Annulus reversus; Cardiac magnetic resonance; Constrictive; Echocardiography; Pericardial effusion

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.