Therapeutic role of pericardiocentesis for acute necrotizing @entity2401 with XXXX .

@entity1 @entity225 @entity4047 @entity2293 @entity583 @entity67 @entity2401 @entity715
We describe a @entity1 with acute necrotizing @entity2401 who recovered rapidly after pericardial drainage and without corticosteroid therapy. The 25-year- old @entity1 was referred to our hospital with suspected acute @entity583 on the basis of severe epigastralgia, abnormal Q waves and ST elevation on electrocardiography, and an increase in cardiac enzymes. Echocardiography disclosed pericardial effusion that compressed the right ventricle, left @entity67 in conjunction with posterolateral hypokinesis, and a thickened ventricular wall but no mural @entity715 . The eosinophil count in the peripheral blood was slightly increased. Coronary angiography showed normal arteries and thus prompted an endomyocardial biopsy. The @entity1 was transferred to the intensive care unit with a clinical diagnosis of @entity2401 associated with @entity2293 . Emergency pericardiocentesis relieved symptoms immediately. The cells in the pericardial effusion were mainly eosinophils; @entity225 and @entity4047 levels were predominantly elevated, and the effusion was drained for 5 days. The biopsy specimen revealed necrotizing @entity2401 . Left ventricular function recovered within a week without corticosteroid therapy. No relapse was observed as of 8 months after diagnosis.
