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Pericarditi

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Since the etiologies are multiple, it is not possible to prevent<br />

pericardial effusion.<br />

State of research in pericarditis field?<br />

The remaining idiopathic pericarditis still represents a high<br />

percentage and may be due to uncultivable agents or to<br />

unknown immune mechanisms. Potential underlying genetic<br />

disorders have been also reported. Electron microscopy is not<br />

very developed yet because it is still expensive but it will be a<br />

very interesting tool for the diagnosis of viral pericarditis. In<br />

Africa, the impact of HIV infection on outcome in tuberculous<br />

pericarditis is the crucial point and will have to be studied in<br />

long-term works. Improving therapeutical management to<br />

avoided recurrence is also a very important objective for the<br />

next few years. The indications for intrapericardial<br />

administration of drugs will probably increase.<br />

Main publications from l’IFR on pericardial effusion<br />

1.Levy PY, Raoult D. Coxiella burnetii pericarditis : a report of<br />

15 cases and review. Clin Infect Dis. 1999;29:393-397.

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