Porridge-like tuberculous cardiac tamponade: treatment difficulties in the Horn of Africa

Massoure, Pierre‐Laurent; Boddaert, Guillaume; Caumes, Jean‐Luc; Gaillard, Pierre-Emmanuel; Lions, Christophe; Grassin, F.

doi:10.1007/s11748-009-0525-y

Cited by 8 publications

(13 citation statements)

References 3 publications

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“…Echocardiography revealed a 30-mm circumferential echogenic "porridge-like" pericardial effusion with signs of cardiac tamponade. The effusion and fibrinous pockets were removed by subxiphoid pericardiotomy (5). The porridge-like pericardial effusion was echogenic and associated with fibrinous strands.…”

Section: Discussionmentioning

confidence: 99%

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Tuberculous Pericarditis Presenting as Multiple Free Floating Masses in Pericardial Effusion

et al. 2012

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Pericarditis is a rare manifestation of tuberculosis (Tb) in children. A 14-yr-old Korean boy presented with cardiac tamponade during treatment of pulmonary tuberculosis. He developed worsening anemia and persistent fever in spite of anti-tuberculosis medications. Echocardiography found free floating multiple discoid masses in the pericardial effusion. The masses and exudates were removed by pericardiostomy. The masses were composed of pink, amorphous meshwork of threads admixed with degenerated red blood cells and leukocytes with numerous acid-fast bacilli, which were confirmed as Mycobacterium species by polymerase chain reaction. The persistent fever and anemia were controlled after pericardiostomy. This is the report of a unique manifestation of Tb pericarditis as free floating masses in the effusion with impending tamponade.

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Section: Discussionmentioning

confidence: 99%

“…Since pericardiocentesis may fail in cases of advanced-stage fibrinous effusion, pericardiotomy with complete open draining is the only lifesaving procedure (5). Anti-tuberculous chemotherapy increases survival dramatically in Tb pericarditis.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Pericarditis Presenting as Multiple Free Floating Masses in Pericardial Effusion

et al. 2012

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“…Literature reviewrevealed a few cases reports documenting the presence of massive amount of pericardial effusion or 4 cm pericardial thickness (6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

A Typical Presentation of Tuberculous Pericarditis: Case Report

2016

IJSR

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Abstract:A 23-year-old woman was admitted to the hospital for the management of progressive shortness of breath, fever and pleural effusion. Initial work up was negative for bacterial infection, tuberculosis and HIV. Further work up with echocardiographic study during admission revealed a moderate pericardial effusion (~4 cm in thickness) but with no tamponade effect. Pericardiocentesis was performed and 1.2 L of sero-sanginousfluid was drained. All tumour and autoimmune markers were unremarkable. Rapid acid-fast bacilli culture demonstrated the growth of Mycobacterium tuberculosis. She was started on anti-TB medications and tolerated them well. Follow-up echocardiographic study and chest X-ray showed no re-accumulation of pericardial or pleural fluid. Tuberculous pericarditis is rare in developed countries but may still be seen in immigrant population. The variable clinical presentation make early diagnosis challenging and require high index of suspension.

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“…Our initial suspicion was malignancy due to the nature of the fluid drained, thus other causes of haemorrhagic effusion including malignancy and trauma needed to be excluded. Extensive literature search was performed on Medline and only a handful of cases reports mentioned the presence of massive amount of effusion of up to 1.5 L or 4 cm thickness, or bloody or haemorrhagic pericardial fluid 8–10. The majority of cases yielded straw-coloured or serosanguinous fluid.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous pericarditis presenting as massive haemorrhagic pericardial effusion

Lee

Wong²,

Fan³

et al. 2012

Case Reports

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SummaryTuberculous pericarditis is an exceedingly rare but a well-described extra-pulmonary manifestation of tuberculosis (TB) infection in Hong Kong. An 82-year-old woman with a known history of diabetes mellitus, hypertension and hyperlipidaemia was admitted for congestive heart failure. Routine echocardiographic study during admission revealed a massive pericardial effusion (~4 cm in thickness) but with no tamponade effect. Pericardiocentesis was performed and 1.6 L of heavily blood stained fl uid was drained. All tumour and auto-immune markers were unremarkable. A whole body positron emission tomography-computer tomography (PET-CT) scan was then performed and showed an increased fl uorodeoxyglucose uptake in the entire pericardium with no sources of possible malignancy identifi ed. Rapid acid fast bacilli culture and Genprobe examination of the pericardial fl uid then demonstrated the growth of Mycobacterium tuberculosis . She was started on anti-TB medications and tolerated them well. Follow-up echocardiographic study showed no re-accumulation of pericardial fl uid.

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Porridge-like tuberculous cardiac tamponade: treatment difficulties in the Horn of Africa

Cited by 8 publications

References 3 publications

Tuberculous Pericarditis Presenting as Multiple Free Floating Masses in Pericardial Effusion

Tuberculous Pericarditis Presenting as Multiple Free Floating Masses in Pericardial Effusion

A Typical Presentation of Tuberculous Pericarditis: Case Report

Tuberculous pericarditis presenting as massive haemorrhagic pericardial effusion

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