Disseminated Tuberculosis With Cardiac Tamponade in an Immunocompetent Individual

We report a case of disseminated tuberculosis with cardiac tamponade in a 26-year-old man from northern Portugal. He was imprisoned for one year before the diagnosis and had no known immunosuppressing conditions. A high level of suspicion with a detailed review of risk factors and exposure history (...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2021-07, Vol.13 (7)
Main Authors: Bibi, Mário, Monteiro, Joana, Oliveira, Nídia, Pereira, Marta
Format: Article
Language:English
Subjects:
Emergency Medicine
Infectious Disease
Internal Medicine
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Summary:We report a case of disseminated tuberculosis with cardiac tamponade in a 26-year-old man from northern Portugal. He was imprisoned for one year before the diagnosis and had no known immunosuppressing conditions. A high level of suspicion with a detailed review of risk factors and exposure history (e.g., in this case, imprisonment is a risk factor for tuberculosis) is necessary when pursuing a diagnosis of extrapulmonary tuberculosis and treatment should be started as soon as possible when life-threatening manifestations occur. We used a 12-month course of antituberculosis agents associated with steroids, in our case. The patient had a good clinical response and no signs of disease at the end of the treatment.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.16088