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March 1979

Viral Pericarditis in Patients Receiving Hemodialysis

Author Affiliations

From the Medical Service, Veterans Administration Hospital, and the Department of Medicine, Georgetown University School of Medicine and Howard University School of Medicine, Washington, DC.

Arch Intern Med. 1979;139(3):301-303. doi:10.1001/archinte.1979.03630400027014

Four patients with end-stage renal disease in whom pericarditis developed while they received intermittent hemodialysis therapy were evaluated for viral infection. We found high or rising serum antibody titers to influenza virus A (three patients) and coxsackievirus B (one patient). Cardiac tamponade occurred in three patients, requiring pericardiectomy in two; each patient eventually recovered. Viral pericarditis may be an important cause of "uremic" pericarditis in chronically dialyzed patients.

(Arch Intern Med 139:301-303, 1979)