Tuberculous Pericarditis Causing Severe Pericardial Effusion: A Case Study

• Main Authors: Ahmad Amouzeshi, Mahmoud Ganji Fard, Nahid Azdaki
• Format: Article
• Language: English
• Published: Gonabad University of Medical Sciences (GMU) 2020-03-01
• Series: Ufuq-i Dānish
• Subjects: pericarditis; tuberculous; cardiac tamponade
• Online Access: http://hms.gmu.ac.ir/article-1-3317-en.html

Aims Tuberculous pericarditis is present in only one to two percent of the tuberculosis cases, i.e. considered rare. The disease is responsible for 4% and 7% of acute pericarditis and cardiac tamponade cases, respectively. Moreover, these conditions are associated with hazardous side effects. Thus, timely and precise diagnosis of the disease could prevent such complications. Case report We reported an 85-year-old male case who was referred with clinical signs of breath shortness, cardiac murmur, and swollen jugular veins. Besides, the relevant laboratory findings indicated elevated white blood cell counts (11.6). In addition, other diagnostic measures, such as thoracic radiography and echocardiography were performed on the patient. Then, the diagnosis indicated a 28mm diameter of pericardial fluid; accordingly, the patient was selected as a candidate for emergency pericardiotomy. The fluid was drained, and therapeutic medication, as well as antibiotics were administered for the patient. Finally, the patient was discharged with an appropriate general condition. Conclusion A sample of pericardial fluid was tested using polymerase chain reaction)method for the diagnosis of tuberculosis, which provided a positive result. Considering the dangerous complications of this disease, it is recommended for all patients who could suction severe pericardial effusion to be tested for this disease.