Tuberculous pericarditis-a silent and challenging disease:A case report  

作　　者：Oscar David Lucero Marlon Mauricio Bustos Darwin Jhoan Ariza Rodriguez Juan Camilo Perez 

机构地区：[1]Department of Internal Medicine,Hospital Universitario San Ignacio,Bogota 110231,Colombia [2]Internal Medicine Resident,Pontificia Universidad Javeriana,Bogota 110231,Colombia

出　　处：《World Journal of Clinical Cases》2022年第6期1869-1875,共7页世界临床病例杂志

摘　　要：BACKGROUND Tuberculous pericarditis(TP)remains a challenge for endemic countries.In developing countries,one to two percent of patients with pulmonary tuberculosis develops TP.CASE SUMMARY A 49-year-old woman presented with dyspnea,chest pain and dry cough.On physical examination,veiled heart sounds were found.The electrocardiogram showed low-voltage complexes and the transthoracic echocardiography revealed a large and free-looking pericardial effusion.The patient was taken for an open pericardiotomy.The pericardial fluid revealed high levels of adenosine deaminase and Ziehl-Neelsen stain showed acid-fast bacilli.Polymerase chain reaction study for Mycobacterium tuberculosis in pericardial fluid was positive.The patient received tetra conjugate management with adequate clinical response after the first week of treatment and resolution of fever and chest pain.CONCLUSION In cases of TP,obtaining pericardial fluid and/or pericardial biopsy is the most efficient strategy to confirm the diagnosis.Early diagnosis of this entity will allow physicians to initiate timely treatment,avoid complications and improve the patient's clinical outcome,so we consider the description of this case pertinent and its review in the literature.

关 键 词：TUBERCULOSIS Pericardial disease Tuberculous pericarditis Pericardial effusion Mycobacterium tuberculosis Case report 

分 类 号：R529.0[医药卫生—内科学]