{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:10:09Z","timestamp":1740179409252,"version":"3.37.3"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:00:00Z","timestamp":1581465600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Constrictive pericarditis is a challenging diagnosis that is easily overlooked. Worldwide, tuberculosis (TB) is the leading cause; however, in the developed countries pericarditis and cardiac surgery are common aetiologies. Medical therapy can be sufficient in specific aetiologies preventing progression of constriction and thus surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case summary<\/jats:title><jats:p>A young student from Nigeria, with established sickle cell disease, presented with hepatomegaly and features of right heart failure. Following multiple investigations for hepatomegaly and pyrexia of unknown origin he was initially treated for hepatic sequestration crisis. After readmission with ongoing pyrexia, he was noted to have features of constrictive physiology on cardiac imaging. Constrictive pericarditis, secondary to TB, was suspected based on the patient\u2019s background and clinical features. He was empirically commenced on anti-TB therapy after a positive interferon-gamma release assay test; Mycobacterium tuberculosis was later isolated in sputum cultures. He made a successful recovery with full radiological resolution of constrictive features on follow-up cardiac imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Constrictive pericarditis remains an elusive diagnosis in the context of coexisting medical problems. Revisiting the presentation and imaging helped in establishing the diagnosis. It is a potentially curable cause of diastolic heart failure with good outcomes if diagnosed and managed early. We were able to successfully manage the patient for TB constrictive pericarditis on medical therapy alone without surgical intervention.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa006","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T10:53:47Z","timestamp":1581504827000},"page":"1-5","source":"Crossref","is-referenced-by-count":0,"title":["Constrictive pericarditis masquerading as hepatic sequestration crisis in a patient with sickle cell disease: a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2495-9884","authenticated-orcid":false,"given":"Zafraan","family":"Zathar","sequence":"first","affiliation":[{"name":"Department of Cardiology, City Hospital, Sandwell and West Birmingham Hospital NHS Trust, Birmingham B18 7QH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2942-3635","authenticated-orcid":false,"given":"Sunil","family":"James","sequence":"first","affiliation":[{"name":"Department of Cardiology, City Hospital, Sandwell and West Birmingham Hospital NHS Trust, Birmingham B18 7QH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nickki","family":"Pressler","sequence":"first","affiliation":[{"name":"Department of Cardiology, City Hospital, Sandwell and West Birmingham Hospital NHS Trust, Birmingham B18 7QH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4023-3576","authenticated-orcid":false,"given":"Emily","family":"Ho","sequence":"first","affiliation":[{"name":"Department of Cardiology, City Hospital, Sandwell and West Birmingham Hospital NHS Trust, Birmingham B18 7QH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,2,12]]},"reference":[{"key":"2020022804011494400_ytaa006-B1","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/1757-1626-1-27","article-title":"Constrictive pericarditis is an easily overlooked cause of right heart failure: a case report","volume":"1","author":"Malkowska","year":"2008","journal-title":"Cases J"},{"key":"2020022804011494400_ytaa006-B2","doi-asserted-by":"crossref","first-page":"31","DOI":"10.22551\/2016.10.0301.10065","article-title":"Constrictive pericarditis\u2014still an overlooked entity","volume":"3","author":"Aursulesei","year":"2016","journal-title":"Arch Clin Cases"},{"key":"2020022804011494400_ytaa006-B3","doi-asserted-by":"crossref","first-page":"2895","DOI":"10.1016\/S0735-1097(19)33501-6","article-title":"Constrictive pericarditis misdiagnosed as alcoholic cirrhosis","volume":"73","author":"Cohen","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"2020022804011494400_ytaa006-B4","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehv318","article-title":"The 2015 ESC Guidelines on the diagnosis and management of pericardial diseases","volume":"36","author":"Adler","year":"2015","journal-title":"Eur Heart J"},{"key":"2020022804011494400_ytaa006-B5","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.1161\/CIRCULATIONAHA.111.018580","article-title":"Risk of constrictive pericarditis after acute pericarditis","volume":"124","author":"Imazio","year":"2011","journal-title":"Circulation"},{"key":"2020022804011494400_ytaa006-B6","doi-asserted-by":"crossref","first-page":"108","DOI":"10.4291\/wjgp.v8.i3.108","article-title":"Acute and chronic hepatobiliary manifestations of sickle cell disease: a review","volume":"8","author":"Shah","year":"2017","journal-title":"World J Gastrointest Pathophysiol"},{"key":"2020022804011494400_ytaa006-B7","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1161\/CIRCIMAGING.113.001613","article-title":"Echocardiographic diagnosis of constrictive pericarditis: Mayo Clinic criteria","volume":"7","author":"Welch","year":"2014","journal-title":"Circ Cardiovasc Imaging"},{"key":"2020022804011494400_ytaa006-B8","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1136\/heartjnl-2017-311683","article-title":"Constrictive pericarditis: diagnosis, management and clinical outcomes","volume":"104","author":"Welch","year":"2018","journal-title":"Heart"},{"key":"2020022804011494400_ytaa006-B9","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1093\/ejcts\/ezt138","article-title":"Constrictive pericarditis: risks, aetiologies and outcomes after total pericardiectomy: 24 years of experience","volume":"44","author":"Szabo","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"key":"2020022804011494400_ytaa006-B10","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1186\/s13019-015-0385-8","article-title":"Long-term outcomes of pericardiectomy for constrictive pericarditis","volume":"10","author":"Bicer","year":"2015","journal-title":"J Cardiothorac Surg"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/1\/1\/32678117\/ytaa006.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/1\/1\/32678117\/ytaa006.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,27]],"date-time":"2021-02-27T03:50:29Z","timestamp":1614397829000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/4\/1\/1\/5734593"}},"subtitle":[],"editor":[{"given":"Christian F","family":"Camm","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Carlos Minguito","family":"Carazo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Peysh","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,2,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,2,12]]},"published-print":{"date-parts":[[2020,2,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa006","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2020,2]]},"published":{"date-parts":[[2020,2,1]]}}}