A case report of tuberculous constrictive pericarditis as a sole manifestation of tuberculosis in a male adolescent

Constrictive pericarditis is a rare type of pericardial disease that can be caused by various factors. Tuberculosis (TB) one the most common causes this abnormality in Indonesia. Interestingly, tuberculous constrictive occur absence acute pericarditis, pulmonary, or extrapulmonary TB. This case described male adolescent with refractory right-sided heart failure symptoms who developed rapidly progressive pericarditis. Various imaging modalities, such as echocardiography, chest computed tomography (CT) scan, cardiac magnetic resonance imaging, and incidental PET/CT were used to diagnose abnormality. Histopathological findings tissues confirmed diagnosis. Complete surgical pericardiectomy, conjunction anti-TB drugs, diuretics, colchicine, resulted significant clinical improvement.