A 15-year-old girl with pericardial tuberculosis complicated by cardiac tamponade: A case report in Somalia

Waberi, Mohamud Mire; Hassan, Mohamed Sheikh; Mohamed, Abdulrashid Hashi; Ahmed, Said Abdirahman; Akyuz, Hakan

doi:10.1016/j.amsu.2022.104252

Cited by 2 publications

(3 citation statements)

References 18 publications

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“…Pleural effusion mimics pericardial effusion on TTE and is associated with echocardiographic complicates the diagnosis because it can occasionally be a sign of tamponade physiology (14). Sometimes, sonolucent areas near the heart other than the left pleural effusion, such as the descending aorta, are misinterpreted as posterior pericardial effusions (2,15). Left pleural effusion, mitral annulus calcification, anterior mediastinal space-occupying lesions, fibrinous pericardial responses, and right heart catheters can all mimic pericardial effusion and must be carefully excluded (16).…”

Section: Discussionmentioning

confidence: 99%

Transudative Tuberculous Pleural Effusion Mimicking Massive Pericardial Effusion: A Case Report

Ahmed¹,

Hassan²,

Abdi³

et al. 2023

STMJ

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The presentation of a patient with a pleural effusion can range from an incidental finding to a serious condition, which can lead to being hemodynamically compromised. Here, we discuss a 24-year-old male with a history of childhood tuberculosis who presented with shortness of breath (SOB), a non-productive cough, and recent weight loss. On examination, he was dyspnoeic but alert. On echocardiographic evaluation, a massive effusion that looked like a massive pericardial effusion was seen, while a further CT scan of the thorax showed a massive unilateral left-sided pleural effusion. Although no tuberculosis (TB) was seen in the sample of thoracocentesis, the patient was referred to a TB centre because of a history of previous tuberculosis and recent weight loss. Pleural effusion and pericardial effusion can be differentiated using echocardiography. In conditions where it is impossible, further imaging, like computer tomography, may be needed to differentiate between them. Keywords:Pleural effusion; Tuberculosis; Pericardial effusion; Cardiac tamponade

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Section: Discussionmentioning

confidence: 99%

Transudative Tuberculous Pleural Effusion Mimicking Massive Pericardial Effusion: A Case Report

Ahmed¹,

Hassan²,

Abdi³

et al. 2023

STMJ

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“…Tuberculosis (TB) is a transmissible disease and one of the top 10 leading causes of mortality worldwide [ 1 ]. The mortality rate secondary to TB is higher than that of the human immunodeficiency virus (HIV) [ 1 , 2 ]. Tuberculous pericardial effusion mostly develops insidiously, and patients have nonspecific symptoms such as fever, night sweats, fatigue, cough, weight loss, and shortness of breath [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Rarely, do these patients present with acute pericardial effusion accumulation with significant haemodynamic compromise. Tuberculous pericarditis is a common cause of constrictive pericarditis and heart failure in developing countries [ 2 ]. Several conditions, such as infections, cardiac surgery, chronic pericarditis and mediastinal radiation, can result in pericardial effusion.…”

Section: Introductionmentioning

confidence: 99%

Acute Large Pericardial Effusion With Haemodynamic Compromise Secondary to Undiagnosed Tuberculosis

Khan,

Hamshere

2024

Cureus

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Tuberculous pericardial effusion is uncommon in the developed countries. However, it remains one of the main causes of presentation with a pericardial presentation with pericardial effusion in the developing world. We present the case of a 24-year-old male patient who presented with a weekly history of diarrhoea, vomiting, shortness of breath and feeling hot. Chest computed tomography revealed a large pericardial effusion with significant haemodynamic compromise. The patient underwent emergency pericardiocentesis, and the pericardial fluid interferon-gamma assay result was positive for tuberculosis. He was unable to tolerate endobronchial biopsy under ultrasound despite heavy sedation and was commenced on antituberculous therapy following a discussion in a multidisciplinary team meeting. He was started on four standard anti-tuberculosis medications, including rifampicin, isoniazid, pyrazinamide, ethambutol and prednisolone. The patient had re-accumulation of pericardial fluid on repeat echocardiography in the first few weeks, which eventually resolved with anti-tuberculous therapy.

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A 15-year-old girl with pericardial tuberculosis complicated by cardiac tamponade: A case report in Somalia

Cited by 2 publications

References 18 publications

Transudative Tuberculous Pleural Effusion Mimicking Massive Pericardial Effusion: A Case Report

Transudative Tuberculous Pleural Effusion Mimicking Massive Pericardial Effusion: A Case Report

Acute Large Pericardial Effusion With Haemodynamic Compromise Secondary to Undiagnosed Tuberculosis

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