{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:09:59Z","timestamp":1790957399706,"version":"4.1.0"},"reference-count":6,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,28]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Constrictive pericarditis is a relatively uncommon form of cardiac failure and presents due to scarring and consequent loss of the normal elasticity of the pericardial sac. This results in abnormal\/limited ventricular filling and symptoms of heart failure. The aetiology is varied, from infective causes to idiopathic causes, or can manifest after cardiothoracic surgery. This case involves a 46-year-old man presenting with acute group A beta haemolytic streptococcus infection, and over the subsequent 6 months develops constrictive pericarditis due to what is believed to be a rheumatic aetiology. The patient subsequently underwent pericardiectomy and had restoration of normal filling dynamics confirmed on follow-up echocardiography. This case provides a subject matter for the review of the features of constrictive pericarditis and its investigation and management. This case is that it highlights the fact that pericarditis is not a benign condition. Emerging evidence suggests that pericarditis is due to a failure in inflammatory regulatory mechanisms, and patients suffering this condition have a preponderance to \u2018autoinflammation\u2019. Pericarditis should be recognised early and treated fully with anti-inflammatory agents.<\/jats:p>","DOI":"10.1136\/bcr-2020-236639","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T11:06:40Z","timestamp":1611572800000},"page":"e236639","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rheumatic pericarditis: a rare cause of constrictive pericarditis"],"prefix":"10.1136","volume":"14","author":[{"given":"Cormac Thomas","family":"O'Connor","sequence":"first","affiliation":[{"name":"Cardiology Department, Limerick Regional Hospital, Dooradoyle, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jawad","family":"Zaman","sequence":"additional","affiliation":[{"name":"Cardiology Department, Limerick Regional Hospital, Dooradoyle, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Kiernan","sequence":"additional","affiliation":[{"name":"Cardiology Department, Limerick Regional Hospital, Dooradoyle, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"key":"2025082702321455000_14.1.e236639.1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv318"},{"key":"2025082702321455000_14.1.e236639.2","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.autrev.2014.10.005","article-title":"Autoimmunity and autoinflammation as the yin and yang of idiopathic recurrent acute pericarditis","volume":"14","author":"Cantarini","year":"2015","journal-title":"Autoimmun Rev"},{"key":"2025082702321455000_14.1.e236639.3","first-page":"30060","article-title":"The autoinflammatory side of recurrent pericarditis: Enlightening the pathogenesis for a more rational treatment","author":"Lopalco","year":"2020","journal-title":"Trends Cardiovasc Med"},{"key":"2025082702321455000_14.1.e236639.4","doi-asserted-by":"crossref","first-page":"1806","DOI":"10.1161\/CIR.0000000000000205","article-title":"Revision of the Jones criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography a scientific statement from the American heart association endorsed by the world heart Federation","volume":"2015","author":"Gewitz","year":"2015","journal-title":"Circulation"},{"key":"2025082702321455000_14.1.e236639.5","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/0002-9149(66)90038-5","article-title":"Rheumatic pericarditis (Heyfelder, 1834)","volume":"18","author":"Jarcho","year":"1966","journal-title":"Am J Cardiol"},{"key":"2025082702321455000_14.1.e236639.6","unstructured":"Laennec RTH . A treatise on the diseases of the chest and on mediate auscultation. London: R. Gilbert, 1824: 671. https:\/\/archive.org\/details\/treatiseondiseas1829laen"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-236639","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:32:22Z","timestamp":1756287142000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-236639"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,25]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-236639"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-236639","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}