Tuberculous pericarditis presenting as massive haemorrhagic pericardial effusion
| Autor: | Vivien Yan Chi Lee, John Tai Hung Wong, Vincent Tok Fai Yeung, Hon Cheung Fan |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Tuberculosis medicine.medical_treatment Antitubercular Agents Hemorrhage Malignancy Pericardial effusion Pericardial Effusion Article medicine Humans Aged 80 and over business.industry Tuberculous pericarditis Pericardial fluid General Medicine Mycobacterium tuberculosis Pericarditis Tuberculous medicine.disease Surgery Radiography Pericardiocentesis Echocardiography Heart failure Female Tamponade business |
| Zdroj: | BMJ case reports. 2012 |
| ISSN: | 1757-790X |
| Popis: | Tuberculous pericarditis is an exceedingly rare but a well-described extra-pulmonary manifestation of tuberculosis (TB) infection in Hong Kong. An 82-year-old woman with a known history of diabetes mellitus, hypertension and hyperlipidaemia was admitted for congestive heart failure. Routine echocardiographic study during admission revealed a massive pericardial effusion (~4 cm in thickness) but with no tamponade effect. Pericardiocentesis was performed and 1.6 L of heavily blood stained fluid was drained. All tumour and auto-immune markers were unremarkable. A whole body positron emission tomography-computer tomography (PET-CT) scan was then performed and showed an increased fluorodeoxyglucose uptake in the entire pericardium with no sources of possible malignancy identified. Rapid acid fast bacilli culture and Genprobe examination of the pericardial fluid then demonstrated the growth of Mycobacterium tuberculosis. She was started on anti-TB medications and tolerated them well. Follow-up echocardiographic study showed no re-accumulation of pericardial fluid. |
| Databáze: | OpenAIRE |
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