This case highlights a rare presentation of tuberculosis as a pleuropericardial cyst causing symptomatic pulmonary stenosis.
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Consider tubercular pleuropericardial cyst in pulmonary stenosis differentials in endemic regions; hypothesis-generating for management.
A 24-year-old male presented to us with complaints of dyspnea on exertion and cyanosis. On examination, he had systolic murmur over pulmonary area. X-ray and contrast-enhanced computed tomography chest confirmed a large cystic pleuropericardial mass compressing the pulmonary artery which was excised successfully by midline sternotomy. Microscopic examination of purulent content of cyst revealed acid-fast Mycobacterium bacilli. This report is unusual on account that symptomatic and clinically evident pulmonary stenosis from pleuropericardial cyst is rare. Second, it is one of the rare presentations of tuberculosis.
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Naqvi et al. (2016) studied this question.
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