Journal of Case Reports in Medical Science
 

Journal of Case Reports in Medical Science, ISSN No. : 2456-9143, Vol.: 3, Issue.: 3

Case Report

TB PERICARDITIS- A CASE REPORT

 

TIRUMALA KANAKA DURGA SRIPATHI1*, HEMALATHA GANAPATHY1 AND NATARAJAN SURESH1

1Department of Pathology, Sree Balaji Medical College and Hospital, Chennai, India.

Abstracts

Tuberculous pericarditis is a complication of TB with pericardial fluid with elevated interferon –gamma > 50 pg/ml being highly specific for tuberculous pericarditis.

For Tuberculous pericarditis definite diagnosis is based on the presence of tubercle bacilli in pericardial fluid or on a histological section of the pericardium. ”probable” tuberculous pericarditis is based on the proof of a lymphocytic pericardial exudates with elevated adenosine deaminase levels, and/or appropriate response to anti tuberculosis chemotherapy. Treatment consists of 4-drug antituberculosis regimen for 6 months. Appropriate treatment for constrictive pericarditis is surgical rresection of the pericardium.

Keywords :

Tuberculous pericarditis; pericardial fluid; pericardial aspiration; lymphocytic pericardial exudates.