A 21-year-old female with impending cardiac tamponade caused by tuberculous pericarditis showed remarkable clinical improvement and resolution of effusion following urgent pericardiocentesis and medical therapy.
Case Report (n=1)
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Early identification and pericardiocentesis combined with anti-tuberculosis therapy, corticosteroids, and colchicine led to rapid clinical improvement in a patient with impending cardiac tamponade due to tuberculous pericarditis.
Tuberculosis is responsible for 70% cases of large pericardial effusion and 2% of cardiac tamponade. A-21-year-old female sought medical care due to progressive dyspnea and chest discomfort. Tuberculous pericarditis with pericardial effusion was diagnosed based on muffled heart sound along with regular tachycardia and jugular vein distention on cardiovascular examination, high CRP with positive IGRA, ECG showed low voltage criteria, right pericardial effusion on chest x-ray, and echocardiography showed massive pericardial effusion with fibrous (echogenic) profile surrounding the heart which was swinging inside with signs of early tamponade. The patient underwent an urgent pericardiocentesis and analysis of pericardial fluid was suggestive of TB. Patient was given oral anti-tuberculosis therapy, corticosteroid and colchicine and showed remarkable improvement. Pericardial effusion contribute to higher morbidity and mortality of the patients with TB. Early identification and diagnosis confirmation are essential to start the appropriate medication and intervention to improve the outcomes of the patients.
Dian Daniella (Sun,) conducted a case report in Tuberculous Pericarditis with impending cardiac tamponade (n=1). Pericardiocentesis, anti-tuberculosis therapy, corticosteroid, and colchicine was evaluated on Clinical improvement and resolution of pericardial effusion. A 21-year-old female with impending cardiac tamponade caused by tuberculous pericarditis showed remarkable clinical improvement and resolution of effusion following urgent pericardiocentesis and medical therapy.