A Rare Case of Acute Pleuropericarditis as a Complication of Permanent Pacemaker Insertion

10 January 2021: Articles

Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents

Małgorzata Chlabicz ^A* , Piotr Jakim ^B , Małgorzata Zalewska-Adamiec ^A , Magdalena Róg-Makal ^A , Sławomir Dobrzycki ^A

DOI: 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.