Tuberculous pericarditis-a silent and challenging disease: A case report
Tuberculous pericarditis (TP) remains a challenge for endemic countries. In developing countries, one to two percent of patients with pulmonary tuberculosis develops TP. A 49-year-old woman presented with dyspnea, chest pain and dry cough. On physical examination, veiled heart sounds were found. The...
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Published in | World journal of clinical cases Vol. 10; no. 6; pp. 1869 - 1875 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
Baishideng Publishing Group Inc
26.02.2022
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Subjects | |
Online Access | Get full text |
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Summary: | Tuberculous pericarditis (TP) remains a challenge for endemic countries. In developing countries, one to two percent of patients with pulmonary tuberculosis develops TP.
A 49-year-old woman presented with dyspnea, chest pain and dry cough. On physical examination, veiled heart sounds were found. The electrocardiogram showed low-voltage complexes and the transthoracic echocardiography revealed a large and free-looking pericardial effusion. The patient was taken for an open pericardiotomy. The pericardial fluid revealed high levels of adenosine deaminase and Ziehl-Neelsen stain showed acid-fast bacilli. Polymerase chain reaction study for
in pericardial fluid was positive. The patient received tetra conjugate management with adequate clinical response after the first week of treatment and resolution of fever and chest pain.
In cases of TP, obtaining pericardial fluid and/or pericardial biopsy is the most efficient strategy to confirm the diagnosis. Early diagnosis of this entity will allow physicians to initiate timely treatment, avoid complications and improve the patient's clinical outcome, so we consider the description of this case pertinent and its review in the literature. |
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Bibliography: | Author contributions: Bustos MM participated in the conception of the work and review of the final version; Lucero OD contributed to the conception of the work and the preparation of the manuscript; Ariza Rodríguez DJ participated in the preparation of the manuscript and the bibliographic review; Perez JC participated in the design of the work and analysis; all authors have read and approved the final manuscript. Corresponding author: Oscar David Lucero, MD, Doctor, Department of Internal Medicine, Hospital Universitario San Ignacio, Cra. 7 No. 40-62, Bogotá 110231, Colombia. oscardavidlucero21@gmail.com |
ISSN: | 2307-8960 2307-8960 |
DOI: | 10.12998/wjcc.v10.i6.1869 |