Bulky granulomatous disease resulting in constrictive tuberculous pericarditis requiring pericardiectomy: a case report.

ABSTRACT:

Background

We present a 23-year-old Nepalese migrant with mycobacterial tuberculosis (TB) pericarditis manifesting as effusive constrictive disease and subsequent rapid progression to constrictive pericarditis resulting from bulky granulomatous disease.

Case summary

Following initial presumptive diagnosis of TB pericarditis based on presence of moderate pericardial effusion and positive polymerase chain reaction on concurrent pleural aspirate, the patient was managed with standard empiric therapy. Despite treatment, he developed progressive heart failure with New York Heart Association (NYHA) class III symptoms and had confirmation of constrictive physiology on simultaneous left and right heart catheterization. He underwent pericardiectomy 4 months after his initial diagnosi

SUBMITTER: Barua S 

PROVIDER: S-EPMC7649499 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature