Tuberculosis involving the heart is rare,accounting for only 0.5% of cases of extrapulmonary tuberculosis.Here we are presenting a case of an immunocompetent host who took one-year empirical antitubercular treatment f...Tuberculosis involving the heart is rare,accounting for only 0.5% of cases of extrapulmonary tuberculosis.Here we are presenting a case of an immunocompetent host who took one-year empirical antitubercular treatment for probable loculated tubercular pericardial abscess.On investigations,loculated pericardial abscess due to Mycobacterium Tuberculosis was confirmed.As patient did not respond to one-year antitubercular treatment and abscess was enlarging on serial computed tomography thorax and could not be aspirated completely due to presence of loculations,pericardiectomy with drainage of pyopericardium was done.This case is an important reminder that TB can manifest as pericardial abscess without significant lung involvement and an early diagnosis and aspiration in above case could have prevented surgical intervention.展开更多
1病例资料患者男性,53岁,因＂胸闷、胸痛3 d＂于2014年1月22日入本院。既往史：16年前行胆囊、胆总管切除术,否认糖尿病、心脏病病史。查体：体温38.7℃,血压86/64 mm Hg。一般状态较差,端坐位呼吸,皮肤、巩膜轻度黄染。左下肺听诊呼吸...1病例资料患者男性,53岁,因＂胸闷、胸痛3 d＂于2014年1月22日入本院。既往史：16年前行胆囊、胆总管切除术,否认糖尿病、心脏病病史。查体：体温38.7℃,血压86/64 mm Hg。一般状态较差,端坐位呼吸,皮肤、巩膜轻度黄染。左下肺听诊呼吸音减弱,心率96次/min,心界明显扩大,心音遥远,心脏未闻及明显杂音及额外心音。展开更多
文摘Tuberculosis involving the heart is rare,accounting for only 0.5% of cases of extrapulmonary tuberculosis.Here we are presenting a case of an immunocompetent host who took one-year empirical antitubercular treatment for probable loculated tubercular pericardial abscess.On investigations,loculated pericardial abscess due to Mycobacterium Tuberculosis was confirmed.As patient did not respond to one-year antitubercular treatment and abscess was enlarging on serial computed tomography thorax and could not be aspirated completely due to presence of loculations,pericardiectomy with drainage of pyopericardium was done.This case is an important reminder that TB can manifest as pericardial abscess without significant lung involvement and an early diagnosis and aspiration in above case could have prevented surgical intervention.
文摘1病例资料患者男性,53岁,因＂胸闷、胸痛3 d＂于2014年1月22日入本院。既往史：16年前行胆囊、胆总管切除术,否认糖尿病、心脏病病史。查体：体温38.7℃,血压86/64 mm Hg。一般状态较差,端坐位呼吸,皮肤、巩膜轻度黄染。左下肺听诊呼吸音减弱,心率96次/min,心界明显扩大,心音遥远,心脏未闻及明显杂音及额外心音。
