Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Recurrent Episodes of Pericardial Effusion as Isolated Manifestation of Tuberculosis: Case Report

Research output: Contribution to journalJournal articleResearchpeer-review

  1. PET/CT Based Dose Planning in Radiotherapy

    Research output: Contribution to journalReviewResearchpeer-review

  2. Ultrasound fused with PET-CT

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Cardiac SPECT-CT and PET-CT Imaging

    Research output: Contribution to journalReviewResearchpeer-review

  4. Hardware and Software Approaches to Multi-Modality Imaging

    Research output: Contribution to journalReviewResearchpeer-review

  5. Hybrid PET Imaging in Neurologic Disease: PET/MRI Rather than PET/CT

    Research output: Contribution to journalReviewResearchpeer-review

  1. Occult cardiac amyloidosis?

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND: Recurrent episodes of isolated pericardial effusion due to tuberculosis, leading to reduced Left Ventricle Ejection Fraction (LVEF), are uncommon.

METHODS: This is a case report of a previously healthy 32-years old male with tuberculous induced pericardial effusion as isolated manifestation. The only known exposure of tuberculosis was a brother with whom the patient did not have physical contact during the last year. The pericardial effusion repeatedly appeared after being drained a total of three times. Due to recurrent episodes of pericardial effusion, severe thickening of the pericardium, pericardial adherences and increasing affection on the heart, pericardiectomy was ultimately performed.

RESULTS: Biochemical examination, chest X-ray, computed tomography of thorax and abdomen and cytology report did not reveal any signs of malignancy, connective tissue disease or other infections including extra-pulmonary/pulmonary tuberculosis. However, the pericardial biopsy was Polymerase Chain Reaction positive (PCR) for tuberculosis DNA and showed granulomatous inflammation with necrosis. After 6 months anti-tuberculous therapy, biochemical parameters, LVEF and the clinical condition of the patient were normalized.

CONCLUSION: Tuberculosis can be difficult to diagnose when it only manifests as pericardial effusion especially if the time for exposure is long before the appearance of symptoms and admission.

Original languageEnglish
JournalCurrent Medical Imaging Reviews
Volume15
Issue number1
Pages (from-to)78-80
Number of pages3
ISSN1573-4056
DOIs
Publication statusPublished - 2019

ID: 59117226