Key result
Antituberculous therapy plus diuretics yields rapid improvement in tuberculous constrictive pericarditis.
Why the study?
Tuberculous constrictive pericarditis is rare in Western countries and may present atypically without pericardial calcifications or thickening.
Case Report (n=1)
Tuberculous constrictive pericarditis can present atypically without pericardial thickening or calcifications and may be reversible with medical therapy.
An 18-year-old Romanian man with no known history of cardiac disease was admitted to the hospital for the management of right heart failure and bilateral pleural effusions. Further investigations revealed mediastinal lymph nodes and a constrictive cardiac haemodynamic pattern. Lymph node biopsy demonstrated a purulent liquid from which cultures were positive for Mycobacterium tuberculosis. The patient improved rapidly with conservative medical management involving antituberculous therapy and diuretics. Tuberculous constrictive pericarditis is rare in Western countries but may still present in migrant populations. As shown in this case, the possibility of atypical and reversible presentations with neither calcifications nor thickening of the pericardium must not be forgotten.
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Catez et al. (2012) conducted a case report in Tuberculous constrictive pericarditis (n=1). Antituberculous therapy and diuretics was evaluated on Clinical improvement. Conservative medical management with antituberculous therapy and diuretics led to rapid improvement in an 18-year-old man with an atypical presentation of tuberculous constrictive pericarditis.
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