Pericardial effusion is common disease and difficult to diagnose. Tuberculosis accounts for up to 4% of acute pericarditis and 7% of cardiac tamponade cases. Quick treatment can be lifesaving but requires accurate diagnosis. We report a case of a 65-year-old man who presented with a 3-week history of fever with chills, non-productive cough and dyspnea. The case was diagnosed by positivity of acid-fast staining, culture and polymerase chain reaction (PCR) of the aspirated pericardial fluid and treated promptly with antituberculosis drugs. The patient showed complete recovery.
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Development of rapid evaluation scale for pericardiectomy of tuberculous constrictive pericarditis by 12-lead electrocardiogram.
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Article Synopsis
- A 43-year-old male with a history of chronic severe pericarditis, right-sided heart failure, and rheumatoid arthritis presented with chest pain, dyspnea, ascites, and limb edema.
- Diagnostic tests revealed significant pericardial thickening and necrotic lymph nodes, with a positive QuantiFERON-TB test confirming tuberculous pericarditis (TBP).
- The patient was treated with anti-tuberculosis therapy and a radical pericardiectomy, highlighting the need for prompt diagnosis and management to enhance patient outcomes in TBP cases.
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