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[A case of tuberculous pericarditis developing constrictive pericarditis].

H Mizutani¹, M Horiba, J Shindoh

¹Department of Respiratory Medicine, Ogaki Municipal Hospital.

Kekkaku : [Tuberculosis]

|March 23, 2001

Summary

This case report details constrictive pericarditis developing after tuberculous pericarditis. Treatment involved chemotherapy and pericardiectomy, confirming tuberculosis as the cause.

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Area of Science:

Cardiology
Infectious Diseases
Thoracic Surgery

Background:

Tuberculous pericarditis is a significant cause of pericardial effusion, particularly in endemic regions.
Constrictive pericarditis can arise as a sequela of inflammatory pericardial conditions, including tuberculosis.

Observation:

A 75-year-old male presented with anorexia and was diagnosed with tuberculous pleuritis and pericarditis based on elevated adenosine deaminase (ADA) in pericardial effusion and positive tubercle bacilli culture.
Despite chemotherapy, the patient developed recurrent massive pleural effusion requiring drainage and subsequently showed signs of constrictive pericarditis, including pericardial thickening on CT and impaired cardiac function on catheterization.

Findings:

The patient was diagnosed with constrictive pericarditis secondary to tuberculous pericarditis.

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Pericardiectomy was performed, and pathological examination of the resected specimens confirmed tuberculous inflammation as the underlying cause.

Implications:

This case highlights the potential for tuberculous pericarditis to progress to constrictive pericarditis, necessitating long-term monitoring.
Early recognition and management of tuberculous pericarditis are crucial to prevent the development of constrictive physiology and its associated cardiac dysfunction.