Title: Impending Cardiac Tamponade caused by Tuberculous Pericarditis
Authors: Dian Daniella, Candra Wiguna, Leonardo Paskah Suciadi
DOI: https://dx.doi.org/10.18535/jmscr/v8i5.86
Abstract
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.
Keywords: Tuberculosis, Pericarditis, Pericardial Effusion.
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