Research Article
Risk Factors and Outcome of Uremic Pericarditis in Patients with Chronic Kidney Failure at Donka University Hospital
Fousseny Diakite*
,
Kadiatou Mamadou Bobo Barry
,
Ibrahima Sory Barry,
Aly Traore,
Doussou Kaba,
Mariame Komah,
Aminata 1 Diallo,
Soriba Bangoura,
Mohamed Lamine Tegui Camara,
Damaris Yawa Leno,
Mohamed Lamine Kaba
Issue:
Volume 10, Issue 1, March 2026
Pages:
1-6
Received:
11 January 2026
Accepted:
26 January 2026
Published:
11 February 2026
Abstract: Introduction: Uremic pericarditis is a late complication of chronic kidney disease (CKD), often latently detected by echocardiography or clinically revealed by chest pain and a pericardial rub. The objective of our study was to describe the risk factors and outcome of uremic pericarditis in patients with chronic kidney failure at the Donka University Hospital. Methods: This was a cross-sectional, descriptive and analytical study conducted over a 7-month period from August 10 to March 10, 2022. All patients with a GFR ≤ 60 ml/min were included. The parameters studied were: epidemiological, clinical, and ultrasound. The Chi-square test was used for statistical analysis. Results: In 182 chronic uremic patients, uremic pericarditis was 12.63%. Pericardial friction rub was present to varying degrees in 91.30% of cases; the average clearance was 4.39. Pericarditis was observed on ultrasound in 82.60% of cases. The risk factors identified were: young age and terminal stage. All of our patients received extrarenal replacement therapy (ERP) and NSAIDs. Intensified EER resulted in complete resolution of pericarditis in 56.5%; surgical drainage in 4.4%, and 39.1% died. Conclusion: The prevalence of uremic pericarditis is relatively high. Early diagnosis and management could improve life expectancy.
Abstract: Introduction: Uremic pericarditis is a late complication of chronic kidney disease (CKD), often latently detected by echocardiography or clinically revealed by chest pain and a pericardial rub. The objective of our study was to describe the risk factors and outcome of uremic pericarditis in patients with chronic kidney failure at the Donka Universi...
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Case Report
Septal Rupture Complicating a Myocardial Infarction:
A Case Report from the Cardiology Department of the Kara Teaching Hospital
Tchaa Tcherou*
,
Fiacre Odilon Tolmbaye Sem,
Clementine Pascale Zoalang Abena,
Djindimadje Allarangue,
Olga Lakpa,
John Michael Ngalle Mbondjo,
Ayao Sergio Spero De Souza,
Gottara Winigah Soga,
Doguensaga Borgatia Atta,
Abalo Mario Bakai,
Komlavi Yayehd,
Machihude Pio
Issue:
Volume 10, Issue 1, March 2026
Pages:
7-10
Received:
22 February 2026
Accepted:
13 March 2026
Published:
27 March 2026
DOI:
10.11648/j.ccr.20261001.12
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Abstract: Post- myocardial infarction ventricular septal rupture is a rare but very fatal complication if early and appropriate management is not provided or is delayed. Despite medical advances in treatment, the mortality rate associated with ventricular septal rupture following myocardial infarction remains very high. We report the case of a 65-year-old woman with a history of alcohol abuse, hospitalized in the cardiology department of Kara Teaching Hospital for an anteroseptal ST elevation myocardial infarction that was not treated with thrombolysis. The patient's condition was marked by the occurrence of a ventricular septal rupture on the third day, followed by death on the fourth day, without surgical repair of the septum. This case illustrates the severity of the mechanical complications of myocardial infarction. The lack of cardiac surgery in Togo constitutes a fatal obstacle to the management of certain cardiac pathologies, such as post-myocardial infarction ventricular septal rupture. Hence the need to improve the local technical platform to ensure better patient care.
Abstract: Post- myocardial infarction ventricular septal rupture is a rare but very fatal complication if early and appropriate management is not provided or is delayed. Despite medical advances in treatment, the mortality rate associated with ventricular septal rupture following myocardial infarction remains very high. We report the case of a 65-year-old wo...
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