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Related Experiment Videos

Tuberculous pericardial abscess: a case report.

Tsung-Hsien Lin1, Chaw-Chi Chiu, Chih-Hsin Huang

  • 1Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

The Kaohsiung Journal of Medical Sciences
|August 11, 2005
PubMed
Summary
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Tuberculosis can present as a rare pericardial abscess, causing cardiac tamponade. Prompt surgical removal and anti-tuberculosis medication resolved symptoms in a diabetic patient.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Thoracic Surgery

Background:

  • Tuberculosis (TB) is a significant global health issue, primarily affecting the lungs.
  • Pericardial involvement in TB, while less common, can lead to serious complications like cardiac tamponade.
  • Diabetic patients may present with atypical infections, complicating diagnosis.

Observation:

  • A 71-year-old diabetic male presented with dyspnea and signs of cardiomegaly and pleural effusion.
  • Echocardiography revealed a pericardial cystic mass compressing the right ventricle, indicating impending cardiac tamponade.
  • Urgent sternotomy was performed for mass excision.

Findings:

  • Pathological examination confirmed caseous necrosis, consistent with tuberculosis infection.

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  • The excised pericardial specimen revealed a tuberculous pericardial abscess.
  • The patient successfully completed a 1-year course of anti-tuberculosis therapy.

    • Implications:

    • This case highlights tuberculosis as a potential cause of pericardial abscesses and cardiac tamponade.
    • Early diagnosis and surgical intervention are crucial for managing tuberculous pericardial effusions.
    • Awareness of atypical TB presentations is vital for effective patient management, especially in immunocompromised individuals.