Catheter drainage of tuberculous pericarditis

Case contributed by Dr Paresh K Desai

Presentation

Fever , breathlessness

Patient Data

Age: 14 years
Gender: Male

Drainage catheters in situ.

 

Cardiomegaly.

Opaque hemithorax on left side

Left side intercostal drainage catheter in situ

 

Drainage catheters in situ.Pericardial effusion seen

Case Discussion

14 year old child with tubercular pleural and pericardial effusion.

Decortication was performed on left side. Pericardial effusion was aspirated with a wide bore needle on 3 occasions, it reaccumulated immediately.

Ultimately a 8F pigtail catheter was inserted under ultrasound guidance.

 

Pericardial fluid yielded - high adenosine deaminase and lymphocytosis.

 

Patient gradually improved on anti-tubercular therapy

PlayAdd to Share

Case information

rID: 6903
Case created: 26th Aug 2009
Last edited: 30th Mar 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.