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A clinical case of tuberculosis with transient constrictive pericarditis and perimyocarditis

V D Mathiasen1,2, C A Frederiksen3, C Wejse1,4

  • 1Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

Echo Research and Practice
|August 16, 2019
PubMed

Insights

Tuberculous pericarditis is a rare heart condition. Monitoring myocardial function with global longitudinal strain can help assess improvement in patients with tuberculosis and cardiac involvement.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Tuberculous pericarditis is uncommon, especially in developed nations, posing diagnostic challenges.
  • Patients with tuberculosis (TB) involving the heart face a high risk of developing constrictive pericarditis.

Observation:

  • A 60-year-old male presented with transient constrictive pericarditis and subclinical myocardial involvement due to tuberculous pericarditis.
  • The patient showed improvement following the commencement of anti-tuberculous treatment.

Findings:

  • Global longitudinal strain (GLS) via myocardial speckle tracking analysis offers a novel method for assessing cardiac involvement.
  • GLS may serve as a valuable supplement to traditional left ventricular ejection fraction (LVEF) measurements.

Implications:

  • This case highlights the utility of advanced imaging techniques in managing tuberculous pericarditis.
  • Monitoring GLS can aid in evaluating treatment efficacy and patient recovery in at-risk populations.

Keywords:
constrictive pericarditisechocardiographyglobal longitudinal strainperimyocarditistuberculosis

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