Key result
Pericardiocentesis followed by antituberculosis therapy and steroids led to clinical improvement in a 20-year-old female with tuberculous pyopericardium and cardiac tamponade.
Why the study?
Pyopericardium manifesting as cardiac tamponade is rare, and cases caused by tuberculosis are extremely rare.
Case Report (n=1)
Tuberculosis is a rare but possible cause of pyopericardium manifesting as cardiac tamponade, which can be successfully managed with pericardiocentesis and targeted medical therapy.
Tuberculous pyopericardium with tamponade may respond to antitubercular therapy and steroids; leaves open systematic evaluation in endemic areas.
Pyopericardium is a rare fatal pericardial disease. It manifesting as cardiac tamponade is rare and because of tuberculosis is extremely rare. We present the case of a 20-year-old female who presented with worsening dyspnea, low-grade fever, and weight loss. Echocardiography showed pericardial effusion with tamponade. After pericardiocentesis, the purulent aspirate on analysis confirmed the etiology as tuberculosis. The patient improved after the initiation of antituberculosis therapy and steroids.
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Nagula et al. (2022) conducted a case report in Pyopericardium manifesting as cardiac tamponade due to tuberculosis (n=1). Pericardiocentesis, antituberculosis therapy, and steroids was evaluated on Clinical improvement. Pericardiocentesis followed by antituberculosis therapy and steroids led to clinical improvement in a 20-year-old female with tuberculous pyopericardium and cardiac tamponade.
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