Tuberculous pericardial effusion

  • Urgent echocardiogram was done in the emergency department which showed a large pericardial effusion.
  • Therapeutic pericardiocentesis was done (1.2 liter yellow color pericardial fluid was aspirated). 
  • Laboratory analysis of the pericardial fluid was positive for mycobacterium tuberculosis complex & acid fast bacilli (AFB) and negative for malignant cells.
  • Sputum was negative for acid fast bacilli.