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March 1988

Candida Pericarditis and Tamponade in a Patient With Systemic Lupus Erythematosus

Author Affiliations

From the Department of Medicine, Divisions of Allergy, Rheumatology, and Clinical Immunology (Drs Kaufman and Kaplan) and Infectious Diseases (Drs Eilbott and Steigbigel); the Department of Surgery, Division of Thoracic Surgery (Dr Seifert); and the Department of Pathology (Dr Zuna), State University of New York at Stony Brook.

Arch Intern Med. 1988;148(3):715-717. doi:10.1001/archinte.1988.00380030221035

Candida pericarditis and tamponade developed in a patient with sterile purulent pericarditis secondary to systemic lupus erythematosus. Therapy with amphotericin B and properly timed surgical intervention led to a clinical and microbiological cure. This article emphasizes the importance of differentiating an infected pericardial effusion from the sterile pericarditis of systemic lupus erythematosus and provides suggested guidelines for the management of that complication.

(Arch Intern Med 1988;148:715-717)