PERICARDIAL TUBERCULOSIS COMPLICATED WITH CARDIAC TAMPONADE (IN SPANISH)

Abstract

Introduction: the tuberculous pericarditis (TP) is a potentially lethal complication of the Mycobacterium tuberculosis infection. Occasionally it could come to advance stages and to produce cardiac tamponade. Case report: a case report of a 39-year-old male patient, drug-dependent and HIV carrier with irregular treatment is presented. Attended in the Hospital Universitario del Caribe in Cartagena. Colombia. The patient consulted for respiratory and cardiovascular symptomatology, by which it was initially considered the heart failure and pneumonia. Subsequently the clinical symptomatology suggestive of cardiac tamponade were installed and confirmed by thoracic radiography and echocardiogram. And the tamponade was treated with puncture and pericardial window. The diagnosis of TP was confirmed by the pericardial biopsy and treated with antituberculous drugs with adequate improvement. Conclusions: the TP is chronic symptomatology that could lead to an acute phase, of high mortality, as it is the cardiac tamponade. The elevated clinical suspicion, the images, the laboratory and the histopathology allow to confirm them and the opportune intervention reduces the morbidity and mortality. Rev.cienc.biomed. 2014;5(2):329-335. KEYWORDS Tuberculous pericarditis, Pericardial effusion, cardiac tamponade.

Keywords

• Tuberculous pericarditis
• Pericardial effusion
• cardiac tamponade.