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Published on: June 20, 2014
Tuberculous constrictive pericarditis diagnosed by cardiac magnetic resonance imaging: A case report
1Department of Radiology, Gejiu People's Hospital, Gejiu City, Yunnan Province, China.
Rationale:
Constrictive pericarditis (CP) is a diagnostic challenge due to its nonspecific and insidious presentation.
Patient Concerns:
A 38-year-old man presented with bilateral lower limb edema and exertional dyspnea.
Diagnoses:
Cardiac magnetic resonance imaging demonstrated pericardial thickening, late gadolinium enhancement, and interventricular septal bounce. Tuberculous CP was considered based on imaging findings, positive interferon-gamma release assay, therapeutic response, and epidemiologic background.
Interventions:
The patient was treated with anti-tuberculosis therapy without surgical pericardiectomy.
Outcomes:
Follow-up imaging showed near-complete resolution of pericardial thickening and effusion, with sustained clinical improvement.
Lessons:
This case highlights the value of cardiac magnetic resonance imaging in the early diagnosis of inflammatory CP and supports the role of medical therapy in selected patients.
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