Tuberculous pericardial effusion

Case contributed by Dr Rengarajan R

Presentation

Emaciated male with dyspnea.

Patient Data

Age: 45
Gender: Male
Modality: Ultrasound

Ultrasound abdomen was requested for this patient, on which hepatomegaly with prominent dilated hepatic veins and IVC were noted. 

Sub-xiphoid view of the heart showed pericardial effusion. On examining with a high frequency probe in the left intercostal spaces, pericardial thickening was also observed. 

Case Discussion

Based on these findings a provisional diagnosis of tubercular pericardial effusion was given. 

Pericardial effusion is a common manifestation of tubercular pericardial disease, which presents with symptoms such as dyspnea and cough. 

Thickening of pericardium and fibrinous strands suggest the tubercular aetiology. 

Chest x-ray of this patient showed a globular heart. Pericardiocentesis was done and showed elevated levels of ADA and LDH, and the diagnosis was confirmed with PCR. 

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Case Information

rID: 23955
Case created: 20th Jul 2013
Last edited: 28th Sep 2015
System: Cardiac
Inclusion in quiz mode: Excluded

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