Abstract

GONZALEZ, Johanna et al. Pericardial Tuberculosis of Unusual Evolution in Immunocompetent Patient. Rev. am. med. respir. [online]. 2023, vol.23, n.4, pp.333-337. ISSN 1852-236X.  http://dx.doi.org/10.56538/ramr.mwvv5151242.

Pericardial tuberculosis (TBP) is a rare manifestation of extrapulmonary tuberculosis (TB). It presents insidiously and nonspecifically, making diagnosis difficult and delaying treatment, leading to serious complications such as pericardial effusion with signs of cardiac tamponade or constrictive pericarditis.

The case of an 18-year-old female patient, pregnant, with a history of close contact with a relative with pulmonary TB is described; she consulted the Emergency Service for dyspnea.

Among the studies requested, the echocardiogram showed pericardial effusion with compression of cavities, requiring pericardiocentesis.

Pericardial fluid culture revealed Mycobacterium tuberculosis and antituberculous treatment plus corticosteroids were started. It evolved with a recurrence of effusion despite adequate medical treatment and the performance of a pericardial window.

Keywords : Pericardial tuberculosis; Medical treatment; Corticosteroid; Surgical treatment.

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