Tuberculous pericarditis

Jurado, Leonardo F.; Pinzón, Bibiana; Rosa, Zandra Rocío De la; Mejía, Marcela; Palacios, Diana

doi:10.7705/biomedica.4911

Cited by 4 publications

(7 citation statements)

References 7 publications

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“…TB should be considered in the immunocompromised and those from high TB prevalence regions. Tuberculous pericarditis develops in 1–2% of pulmonary TB cases [ 5 ]. Purulent pericarditis and cardiac tamponade are complications with potential for significant morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

The rare case of oesophago-pericardial fistula secondary to pulmonary tuberculosis

Sidhu

Seyfi

Lau

et al. 2022

Journal of Surgical Case Reports

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We report the case of a healthy 35-year-old male with two rare pathologies: pneumopericardium and oesophago-pericardial fistula (OPF) secondary to tuberculosis. Purulent pericarditis and cardiac tamponade are known complications with potential for significant morbidity and mortality. Unfortunately, the symptoms of OPF are non-specific often delaying diagnosis. There is no gold standard for treatment or determinant of when nonsurgical versus surgical approach should be considered. Anti-tuberculous therapy alone is often adequate however an oesophageal stent was utilized in this case to rapidly gain control of the fistula and prevent ongoing contamination from mediastinitis.

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Section: Discussionmentioning

confidence: 99%

The rare case of oesophago-pericardial fistula secondary to pulmonary tuberculosis

Sidhu

Seyfi

Lau

et al. 2022

Journal of Surgical Case Reports

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“…The diagnosis of tuberculous pericarditis should be considered in patients with pericarditis that does not have a self-limited course with a high-risk factor of exposure to TB [12]. The initial evaluation of a patient with tuberculous pericarditis includes tuberculin skin test (TST) and interferon-gamma release assay (IGRA) that supports the diagnosis of TB, and more specific test as chest radiography, echocardiography showing pericardial effusion, electrocardiography with non-specific ST-T wave changes and micro voltages, sputum, and pericardial fluid evaluation for acid-fast bacilli (AFB) smear and culture [13].…”

Section: Diagnosismentioning

confidence: 99%

“…The initial evaluation of a patient with tuberculous pericarditis includes tuberculin skin test (TST) and interferon-gamma release assay (IGRA) that supports the diagnosis of TB, and more specific test as chest radiography, echocardiography showing pericardial effusion, electrocardiography with non-specific ST-T wave changes and micro voltages, sputum, and pericardial fluid evaluation for acid-fast bacilli (AFB) smear and culture [13]. The pericardial fluid should also be evaluated for cell count, protein concentration, lactate dehydrogenase concentration, adenosine deaminase (ADA) concentration, and cytology [12]. The tuberculous pericarditis effusion is usually exudative with lymphocytes, monocytes, and high protein concentration.…”

Section: Diagnosismentioning

confidence: 99%

“…ADA levels above 30 units/L in the pericardial fluid also indicate tuberculous pericarditis. In cases when the pericardial fluid and smear are not conclusive is recommended to obtain a right scalene lymph node and/or pericardial biopsy for AFB stain and examination for granulomatous disease [11,12]. It is to remark that the sensitivity of the biopsy is 10-64%, so a negative biopsy does not exclude the diagnosis [11].…”

Section: Diagnosismentioning

confidence: 99%

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Constrictive Pericarditis Secondary to Tuberculosis Infection: Literature Review

Coral

2022

JOCCT

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Tuberculous pericarditis is produced by Mycobacterium tuberculosis, accounting for 1% of all forms of tuberculosis. Its prevalence varies according to coinfection with HIV. Mortality varies between 17 and 40%. In the US, the prevalence is low compared to developing countries. This article aims to review the literature on pericarditis caused by tuberculosis (TBP), its prevalence in the US, clinical manifestations, diagnosis, and treatment. Among the most frequent clinical manifestations are dyspnea, fever, chest pain, and cough. TBP should be suspected in patients at high risk of exposure to tuberculosis. There are multiple lab tests for diagnosis, and its primary treatment is triple therapy with isoniazid, rifampin, and streptomycin or ethambutol. In case of persistent elevation of systemic venous pressure, surgical intervention is indicated. The clinical presentation was found to be variable.

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“…(JURADO et al, 2020).Pode acometer o pericárdio e levar à uma condição clínica conhecida como PT, podendo evoluir para PC(ISIGUZO et al, 2020;MONTUSCHI;REEVES, 1947). A PT representa 10% de todos os casos de pericardite e sua taxa de mortalidade pode chegar a 90% na ausência de correto diagnóstico e tratamento(LAGOEIRO JORGE et al, 2018).Os sintomas dessa afecção são geralmente inespecíficos e podem variar de acordo com o estágio da infecção, frequentemente apresentando-se com tosse, dispneia e dor precordial ventilatório-dependente, como apresentado pelo paciente deste caso.…”

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Ciências da Saúde: desafios, perspectivas e possibilidades - Volume 1

2021

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INTRODUÇÃO:A anestesiologia proporciona ausência ou alívio da dor e outras sensações ao paciente que necessita realizar procedimentos médicos e que vem ampliando sua área de atuação não só no intra-operatório mas também no pré e pós-operatório.Recentemente, foi implantado o consultório de pré-anestesico como item obrigatório para que sejam realizadas cirurgias. A presente pesquisa avaliou o grau de satisfação com o consultório de anestesia de uma amostra da população submetida a um procedimento cirúrgico, verificando a importância do anestesiologista e a confiança da comunidade após o contato com esse profissional no que tange o esclarecimento de dúvidas e a diminuição dos sintomas de ansiedade. MATERIAL E MÉTODOS: Aplicamos um questionário aos pacientes após a consulta pré-anestésica através de plataforma online Google Forms, indagando sobre seu grau de satisfação, a necessidade da avaliação, orientação que o mesmo desconhecia, entre outros. RESULTADOS: 86,8% receberam orientação pré-anestésica e 13,2% não receberam 76,3% receberam as orientações pelo anestesiologista, 23,7% receberam orientações de outro especialista. 94,7% dos pacientes acharam importante o contato prévio com o anestesista, 18,5% apresentavam sintomas de ansiedade anteriormente à consulta, e após a avaliação houve diminuição dos sintomas em 71,5% dos pacientes que antes possuíam. CONCLUSÃO: A avaliação pré-anestésica demonstrou reduzir níveis de ansiedade e dúvidas sobre o procedimento anestésico dos pacientes, porém tal avaliação não é tão divulgada, visto que 57,9% dos participantes desconheciam o que envolve a avaliação pré-anestésica, porém quando realizada, foi considerada relevante pelos pacientes esse contato prévio com o especialista.

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Tuberculous pericarditis

Cited by 4 publications

References 7 publications

The rare case of oesophago-pericardial fistula secondary to pulmonary tuberculosis

The rare case of oesophago-pericardial fistula secondary to pulmonary tuberculosis

Constrictive Pericarditis Secondary to Tuberculosis Infection: Literature Review

Ciências da Saúde: desafios, perspectivas e possibilidades - Volume 1

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