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Volume 33, Nº 3, May and June 2020


DOI: https://doi.org/10.5935/2359-4802.20190033


Acute Pericarditis in Crohn's Disease under Pharmacological Immunosuppression: A Diagnostic and Therapeutic Dilemma

Maria Trêpa

Isabel Neves

Marta Salgado

Graziela Carvalheiras

Vasco Dias

Figure 1 - Thoracic computed tomography angiography showing moderate pericardial effusion with asymmetric distribution.


Acute pericarditis in young patients usually has a benign course. However, in those with autoimmune diseases it is mandatory to consider the risk of opportunistic infections, and of association with the underlying disease or immunomodulatory drugs. This case report aims to show possible strategies for diagnosis and treatment of this particularly complex group of patients.

Keywords: Crohn Disease; Pericarditis, Tuberculous; Fever; Tuberculosis; Anti-Bacterial Agents; Antibiotic-Prophylaxis.