• Revista médica de Chile · Feb 2021

    Case Reports

    [Tuberculous pericarditis an infrequent extrapulmonary manifestation of TB].

    • Manuel Jorquera-Román, Javier Araya-Cancino, José Enríquez-Montenegro, Javier Obando-Valdés, Franco Reyes-Cornejo, Oward Belzarez Gutiérrez, Valeria Monasterio-Angulo, Nicole Jofre-Tobar, José Barrientos Verdugo, and Fernando Rodríguez Rojas.
    • Hospital Regional de Talca, Talca, Chile.
    • Rev Med Chil. 2021 Feb 1; 149 (2): 281-285.

    AbstractExtrapulmonary tuberculosis (TB) contributes to 15% of total cases, representing a great diagnostic and therapeutic challenge. Pericardial involvement is present in 1 to 2% of TB patients and is considered an unusual presentation form of TB. We report a 67-year-old male presenting with fever and progressive dyspnea. A chest CAT scan showed a bilateral pleural effusion and an extensive pericardial effusion. An echocardiogram showed signs of tamponade. Therefore, an emergency pericardiectomy was performed. The pathological report of pericardial tissue showed caseating necrosis and its Koch culture was positive. The patient was treated with anti-tuberculous drugs with a favorable evolution.

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