A Rare Case of Purulent Pericardial TB

Pericardial effusion is a common disease and tuberculosis (TB) accounts up to 4% of acute pericarditis with up to 7% of tamponade case. Accurate diagnosis is important while quick intervention can be life-saving. A case was reported involving a 73-year-old man who presented with reduced effort toler...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2019-08, Vol.11 (8)
Main Authors: Johari, Muhammad Izzad, Ramli, Ahmad Wazi, Mat Lawi, Firdaus, Bin Fouzi, Mohamad Ariff Hafizi, Suardi, Kurnia Prima Sawai
Format: Article
Language:English
Subjects:
Cardiology
Case reports
Cholecystectomy
Electrocardiography
HIV
Human immunodeficiency virus
Industrialized nations
Infections
Infectious Disease
Internal Medicine
Mortality
Pain
Patients
Pericarditis
Tuberculosis
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Summary:Pericardial effusion is a common disease and tuberculosis (TB) accounts up to 4% of acute pericarditis with up to 7% of tamponade case. Accurate diagnosis is important while quick intervention can be life-saving. A case was reported involving a 73-year-old man who presented with reduced effort tolerance for one-month duration. During hospitalization, further workup revealed the presence of massive purulent pericardial effusion with evidence of tamponade. TB gene expert was positive in aspirated pericardial fluid and the patient was treated promptly using a combination of anti-TB drugs with the addition of steroid therapy.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.5356