Empiric treatment for pericardial tuberculosis can be life-saving and effective in endemic areas even when TB workup is negative.
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May support empiric therapy in high-suspicion pericardial cases in endemic areas; leaves open need for prospective validation.
Pericardial tuberculosis (TB) is rare, but has particularly severe complications and a high mortality rate when not treated. Prompt treatment of pericardial TB is important and can be life-saving. We report a 13-year-old girl with massive pericardial effusion and negative workup for TB, who was empirically treated with an excellent response.
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Amin-Beidokhty et al. (2016) studied this question.
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