摘要
Although bloody pericardial effusion often suggests neoplasia, such an event is not rare in tuberculosis (TB), especially in those countries with a high TB disease burden. Meanwhile, TB accounts for 50% and greater than 90% of large pericardial effusions in human immunodeficiency virus (HIV)-negative and HIV-positive patients, respectively. Here we report a case of a 24-year-old HIV-negative male who presented with fever and hemorrhagic pericardial effusion. The patient was given presumptive anti-TB treatment before diagnosis was established. Eventually the patient responded well to the anti-TB treatment at the last follow-up and the diagnosis was confirmed by aspirated pericardial fluid culture on Lowenstein-Jensen (LJ) medium.
Although bloody pericardial effusion often suggests neoplasia, such an event is not rare in tuberculosis （TB）, especially in those countries with a high TB disease burden. Meanwhile, TB accounts for 50% and greater than 90% of large pericardial effusions in human immunodeficiency virus （HIV）-negative and HIV-positive patients, respectively. Here we report a case of a 24-year-old HIV-negative male who presented with fever and hemorrhagic pericardial effusion. The patient was given presumptive anti-TB treatment before diagnosis was established. Eventually the patient responded well to the anti-TB treatment at the last follow-up and the diagnosis was confirmed by aspirated pericardial fluid culture on Lowenstein-Jensen （LJ） medium.
出处
《微生物与感染》
2011年第4期236-237,共2页
Journal of Microbes and Infections
基金
sponsored by the National Key Technologies R&D Program of China during the Eleventh Five-Year Plan Period(No.2009ZX10004-104)
关键词
心包积液
结核病
治疗方法
临床分析
Adult
Hemorrhagic tuberculous pericarditis
Tuberculosis
