TUBERCULOUS PLEURO-PERICARDITIS: A CASE REPORT

Aim:Considering the potential severity of the pericardial involvement, the diagnosis should be made in the event of any pericarditis regardless of its evolution.Methods:This is an observation of a 22-year-old patient admitted with chest pain, fever and dyspnea.The interrogation: notion of night sweats, asthenia and weight loss, without notion of contagion.Physical examination: left pleural syndrome, tachycardia without signs of right cardiac impact.Chest x-ray: cardiomegaly with left pleural opacity.Cardiac ultrasound: circumferential pericardial effusion 4 cm in diameter non-compressive, without signs of constriction.Pleural puncture: exudative citrus yellow fluid predominantly lymphocytic.Pleural biopsy: appearance suggestive of pleural tuberculosisResults:The diagnosis of pleuropericardial tuberculosis was made and the patient was put on anti-tuberculosis and corticosteroid treatments.The progress under treatment was good with regression of the pleuro-pericarditis.Conclusion: Tuberculous pericarditis is associated with pleurisy in 1/3 of cases, it conditions the prognosis by its complications, mainly the progression to constriction. Implementation Science/Service Development Research Ideas on Respiratory Conditions and Tobacco Dependency Abstract Declaration of Interest References and Clinical Trial Registry Information