Armored Heart Because of Tuberculous Constrictive Pericarditis

A 72-year-old man with a history of diabetes mellitus, hypertension, and dyslipidemia was admitted to our hospital because of fever, dyspnea, and an infiltrative shadow in the right upper lobe of the lungs on chest X-ray. Results of blood examination showed elevated CRP (C-reactive protein) level (10.8 mg/dL) on admission. Left bundle branch block, mild left ventricular (LV) systolic dysfunction, and a minimal amount of pericardial effusion were present on ECG and transthoracic echocardiography, respectively. Coronary angiography showed normal results. Fever, abnormal pulmonary shadow, and CRP levels partially normalized with intravenous antibiotic treatment, and he was discharged from the hospital.