THEODORE R. STEPMAN, M.D.; EDWIN OWYANG, M.D.
Tuberculosis of the pericardium is a more common finding for the pathologist than for the clinician. It more often occurs in the presence of demonstrable active tuberculous lesions elsewhere in the body, notably the lungs. Less frequently it occurs as a "primary" tuberculosis of the pericardium, or as a "clinically primary" tuberculosis of the pericardium. It is in the latter two that the etiological agent is frequently unsuspected. The tubercle bacillus is notoriously difficult to demonstrate in serous fluids or exudates, requiring exhaustive search over months in many instances. No one hesitates to make a diagnosis of tuberculosis of the
STEPMAN TR, OWYANG E. CLINICALLY PRIMARY TUBERCULOUS PERICARDITIS1. Ann Intern Med. ;27:914–922. doi: 10.7326/0003-4819-27-6-914
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Published: Ann Intern Med. 1947;27(6):914-922.
Cardiology, Infectious Disease, Mycobacterial Infections, Pericardial Disease.
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