Key result
Antitubercular treatment resulted in a good clinical response in a 25-year-old woman presenting with shock and cardiac tamponade due to tuberculous pericardial effusion.
Case Report (n=1)
Tuberculous pericardial effusion can present unusually with menorrhagia and shock, highlighting the need for accurate diagnosis and prompt antitubercular treatment.
May support antitubercular therapy in tuberculous tamponade; hypothesis-generating from single case report.
Tuberculosis accounts for upto 4% of acute pericarditis and 7% cases of cardiac tamponade. 19% of women with tuberculosis can present with menorrhagia. Prompt treatment can be life saving but requires accurate diagnosis. We report a case of 25-year-old women who presented with severe bleeding per vaginum for four days. She was in shock. Echocardiography showed moderate pericardial effusion with features of cardiac tamponade. ADA was positive in aspirated pericardial fluid. The patient responded well to antitubercular treatment.
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LNU et al. (2009) conducted a case report in Tuberculous pericardial effusion with cardiac tamponade (n=1). Antitubercular treatment was evaluated on Clinical response. Antitubercular treatment resulted in a good clinical response in a 25-year-old woman presenting with shock and cardiac tamponade due to tuberculous pericardial effusion.
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