10 January 2021
: Case report 
A Rare Case of Acute Pleuropericarditis as a Complication of Permanent Pacemaker Insertion
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents
Małgorzata Chlabicz12ABCDEFG*, Piotr Jakim1BCD, Małgorzata Zalewska-Adamiec1ACDEF, Magdalena Róg-Makal1ACDEF, Sławomir Dobrzycki1ABDEFDOI: 10.12659/AJCR.928188
Am J Case Rep 2021; 22:e928188
Table 1. The timeline representing patient treatment history.
| Time | Event |
|---|---|
| Admission | Presented syncope, history of aortic stenosis |
| Day 2 | Coronary angiography |
| Day 3 | Presented syncope with sinus arrests and escape atrioventricular rhythm in ECG IPG implantation |
| Day 4 | Weakness with pericardial effusion in ECHO |
| Day 5–8 | Gradual reduction of pericardial effusion |
| Day 10 | Increase of pericardial effusion with the left pleural effusion – planned discharge day |
| Day 11–17 | Non-steroid anti-inflammatory drugs therapy (ibuprofen) and colchicine without effect |
| Day 18–34 | Steroid anti-inflammatory drugs therapy (prednisolone) and colchicines with resorption of pericardial and pleural effusion |
| Day 34 | Gradual reduction of prednisolone dose |
| Day 55 | Recurrence of pericardial and pleural effusion; return to the starting dose of prednisolone |
| Day 55–109 | Extended treatment of steroid anti-inflammatory drugs therapy (prednisolone) and colchicines with gradual reduction of prednizolone dose |
| ECG – electrocardiography; IPG – pacemaker; ECHO – echocardiography. | |