Disseminated tuberculosis presenting as cardiac tamponade—Uncommon presentation in common disease

Autor: Majed A B Momin, Pawan Poddar, Amit K Sarda, Dharmendra K Borad
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: MGM Journal of Medical Sciences, Vol 9, Iss 2, Pp 229-233 (2022)
Druh dokumentu: article
ISSN: 2347-7946
2347-7962
DOI: 10.4103/mgmj.mgmj_62_21
Popis: Tuberculosis is the most common infection in India, and its incidence accounts for approximately one-fifth of the global burden. Cardiac tamponade resulting from the liver abscess with subdiaphragmatic rupture communicating with pericardial cavity presenting as disseminated tuberculosis is uncommon. Here, we reported a case of a 63-year-old man who presented with the shortness of breath for 3 days with orthopnea. Imaging studies reveal pericardial effusion, left liver lobe loculated lesion, and enlarged right supraclavicular lymph node. Further image-guided pericardiocentesis, left liver lobe aspiration cytology, and right supraclavicular lymph node cytology reveal granulomatous inflammation with positive acid-fast bacillus in the liver aspirate. The patient was managed in the emergency room symptomatically initially and was then successfully treated with antituberculous treatment.
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