Tubercular Pericardial Effusion Complicated by Cardiac Tamponade: A Rare Case Report

Authors

  • Sudhan Devkota Universal College of Medical Sciences, Bhairahawa, Nepal
  • Aparajita Sharma Universal College of Medical Sciences, Bhairahawa, Nepal
  • Mahmud Alam Khan Universal College of Medical Sciences, Bhairahawa, Nepal
  • Niraj Kumar Jaiswal Universal College of Medical Sciences, Bhairahawa, Nepal
  • Manoj Karki Universal College of Medical Sciences, Bhairahawa, Nepal
  • Vikash Sahani Universal College of Medical Sciences, Bhairahawa, Nepal

DOI:

https://doi.org/10.3126/jucms.v12i02.69629

Keywords:

Cardiac tamponade, Pericardiocentesis, Tuberculosis

Abstract

ABSTRACT

Cardiac tamponade is a medical emergency which requires early diagnosis and intervention. Tubercular pericardial effusion is an uncommon manifestation of extra pulmonary TB with cardiac tamponade being even rarer. Here, we have a case of 78-year-male who presented with fever, chest pain and shortness of breath for 4 days. He was in respiratory distress, hypoten- sive along with raised JVP and muffled heart sounds. Echocardiography demonstrated cardiac tamponade for which immediate pericardiocentesis was performed. Pericardial fluid analysis was suggestive of tubercular origin for which ATT and steroids started.

 

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Author Biographies

Sudhan Devkota, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Aparajita Sharma, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Mahmud Alam Khan, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Niraj Kumar Jaiswal, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Manoj Karki, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Vikash Sahani, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

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Published

2024-09-12

How to Cite

Sudhan Devkota, Aparajita Sharma, Mahmud Alam Khan, Niraj Kumar Jaiswal, Manoj Karki, & Vikash Sahani. (2024). Tubercular Pericardial Effusion Complicated by Cardiac Tamponade: A Rare Case Report. Journal of Universal College of Medical Sciences, 12(02), 45–48. https://doi.org/10.3126/jucms.v12i02.69629

Issue

Section

Case Reports