Bulky granulomatous disease resulting in constrictive tuberculous pericarditis requiring pericardiectomy: a case report.
Sumita BaruaBernadette PhuaYishay OrrMichael SkinnerPublished in: European heart journal. Case reports (2020)
Tuberculous pericarditis accounts for 1-2% of presentations with TB infection, with progression to constrictive pericarditis in between 17 and 40% of cases. To date, pericardiectomy remains mainstay of treatment for constriction, albeit with high perioperative risk. In combination with anti-tuberculous therapy, prednisone and pericardiocentesis may reduce risk of progression to constriction, however, neither have shown mortality benefit. Our patient continued to progress, despite medical therapy and proceeded to pericardiectomy only 4 months after his initial diagnosis, with rapid improvement in symptoms, demonstrating the importance of close monitoring and revision of management strategy in these patients.
Keyphrases
- end stage renal disease
- neuropathic pain
- chronic kidney disease
- newly diagnosed
- ejection fraction
- healthcare
- prognostic factors
- peritoneal dialysis
- cardiac surgery
- patients undergoing
- cardiovascular events
- risk factors
- mycobacterium tuberculosis
- spinal cord
- systemic sclerosis
- interstitial lung disease
- depressive symptoms
- spinal cord injury
- total hip arthroplasty
- replacement therapy
- loop mediated isothermal amplification