Catheter drainage of tuberculous pericarditis

Case contributed by Dr Paresh K Desai

Presentation

Fever , breathlessness

Patient Data

Age: 14 years
Gender: Male
Modality: X-ray

Drainage catheters in situ.

 

Cardiomegaly.

Opaque hemithorax on left side

Left side intercostal drainage catheter in situ

 

Modality: Ultrasound

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

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Case Information

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

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