Tuberculous Pericarditis Presenting as Multiple Free Floating Masses in Pericardial Effusion
Journal of Korean Medical Science
; : 325-328, 2012.
Article
in En
| WPRIM
| ID: wpr-226775
Responsible library:
WPRO
ABSTRACT
Pericarditis is a rare manifestation of tuberculosis (Tb) in children. A 14-yr-old Korean boy presented with cardiac tamponade during treatment of pulmonary tuberculosis. He developed worsening anemia and persistent fever in spite of anti-tuberculosis medications. Echocardiography found free floating multiple discoid masses in the pericardial effusion. The masses and exudates were removed by pericardiostomy. The masses were composed of pink, amorphous meshwork of threads admixed with degenerated red blood cells and leukocytes with numerous acid-fast bacilli, which were confirmed as Mycobacterium species by polymerase chain reaction. The persistent fever and anemia were controlled after pericardiostomy. This is the report of a unique manifestation of Tb pericarditis as free floating masses in the effusion with impending tamponade.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pericardial Effusion
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Pericarditis, Tuberculous
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Pericardiectomy
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Echocardiography
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Cardiac Tamponade
Limits:
Adolescent
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Humans
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Male
Language:
En
Journal:
Journal of Korean Medical Science
Year:
2012
Type:
Article