{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:16:51Z","timestamp":1790093811268,"version":"4.0.1"},"reference-count":18,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,19]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>COVID-19 has a broad spectrum of cardiac manifestations, and cardiac tamponade leading to cardiogenic shock is a rare presentation. A 30-year-old man with a history of COVID-19-positive, reverse transcription polymerase chain reaction (RT-PCR) done 1\u2009week ago and who was home-quarantined, came to the emergency department with palpitations, breathlessness and orthopnoea. His ECG showed sinus tachycardia with low-voltage complexes, chest X-ray showed cardiomegaly and left pleural effusion and two-dimensional echocardiography showed large pericardial effusion with features suggestive of cardiac tamponade. He was taken up for emergency pericardiocentesis which showed haemorrhagic pericardial fluid. Intercostal drainage insertion was done for left-sided large pleural effusion. After ruling out all the other causes for haemorrhagic pericardial effusion, the patient was started on colchicine, steroids, ibuprofen and antibiotics to which he responded. Both pericardial and pleural effusions resolved completely on follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2021-244518","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T11:36:04Z","timestamp":1631532964000},"page":"e244518","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Cardiac tamponade and massive pleural effusion in a young COVID-19-positive adult"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4922-2806","authenticated-orcid":false,"given":"Dilip","family":"Johny","sequence":"first","affiliation":[{"name":"Cardiology, KS Hegde Medical Academy, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kodangala","family":"Subramanyam","sequence":"additional","affiliation":[{"name":"Cardiology, KS Hegde Medical Academy, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7812-3508","authenticated-orcid":false,"given":"Nandakishore","family":"Baikunje","sequence":"additional","affiliation":[{"name":"Pulmonary Medicine, KS Hegde Medical Academy, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giridhar Belur","family":"Hosmane","sequence":"additional","affiliation":[{"name":"Pulmonary Medicine, KS Hegde Medical Academy, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"2025082707050581000_14.9.e244518.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2020.06.004"},{"key":"2025082707050581000_14.9.e244518.2","doi-asserted-by":"crossref","unstructured":"Diaz-Arocutipa C , Saucedo-Chinchay J , Imazio M . Pericarditis in patients with coronavirus disease 2019: a systematic review. J Cardiovasc Med 2021. doi:doi:10.2459\/JCM.0000000000001202. 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Cardiovascular considerations for patients, health care workers, and health systems during the corona virus disease 2019 (COVID-19) pandemic. 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Pericardial disease. In: Longo D , Fauci A , Kasper D , eds. Harrison\u2019s Principles of Internal Medicine. 18 edn. 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