Case Report: Tuberculosis with Pericardial Effusion in Children
Main Article Content
Abstract
Background. Tuberculosis pericardial effusion is a rare case in the developed countries. This may cause serious and deadly impact if not diagnosed and treated properly. Appropriates diagnosis and treatment of tuberculosis pericardial effusion can prevent mortality.
Case. A 14-years-old boy was admitted with tightness of breath, chest pain, and abdominal enlargement. Chest X-ray revealed heart enlargement and echocardiography showed a massive pericardial effusion. The diameter of induration of tuberculin skin test was 14 mm. This patient was diagnosed as tuberculosis pericardial effusion and showed complete recovery after paricardiocentesis and anti-tuberculosis drugs administration for 12 month.
Conclusion. Tuberculosis pericardial effusion should be remembered in cases of tightness of breath with chest x ray revealing heart enlargement. Adequate treatment by pericardiocentesis and anti-tuberculosis drugs can completely cure this disease.
Downloads
Article Details
Copyright (c) 2022 Muhammad Ali Shodikin
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
Syed FF, Mayosi BM. A modern approach to tuberculous pericarditis. Prog Cardiovasc Dis. 2007;50(3):218-236. doi:10.1016/j.pcad.2007.03.002.
Cherian G. Diagnosis of tuberculous aetiology in pericardial effusions. Postgrad Med J. 2004;80(943):262-266. doi:10.1136/pgmj.2003.013664.
Maisch B, Ristić AD. Diagnostik und therapie der perikarditis und des perikardergusses [Diagnostics and therapy of pericarditis and pericardial effusion]. Herz. 2014;39(7):837-856. doi:10.1007/s00059-014-4167-1.
Mayosi BM, Burgess LJ, Doubell AF. Tuberculous pericarditis. Circulation. 2005;112(23):3608-3616. doi:10.1161/CIRCULATIONAHA.105.543066.
Sagristà-Sauleda J, Mercé AS, Soler-Soler J. Diagnosis and management of pericardial effusion. World J Cardiol. 2011; 3(5): 135-143.
Imazio M and Adler Y. Management of pericardial effusion. European Heart Journal. 2013; 34:1186–1197.doi:10.1093/eurheartj/ehs372.
Fardman A, Charron P, Imazio M, Adler Y. European guidelines on pericardial diseases: a focused review of novel aspects. Curr Cardiol Rep. 2016;18(5):46. doi:10.1007/s11886-016-0721-1.
Montazeri V and Sokouti M. Tuberculous pericarditis: of a protocol in the treatment based on staging. J Cardiovasc Thorac Res. 2009;1:5-10.
Rahayoe NN, Supriyatno B dan Setyono DB editors. Buku Ajar Respirologi Anak. Edisi pertama, Jakarta: Ikatan Dokter Anak Indonesia; 2010. P 214-227.