Tuberculous Constrictive Pericarditis
نویسندگان
چکیده
INTRODUCTION Constrictive pericarditis is characterized by constriction of the heart secondary to pericardial inflammation. Cardiovascular magnetic resonance (CMR) imaging is useful imaging modality for addressing the challenges of confirming this diagnosis. It can be used to exclude other causes of right heart failure, such as pulmonary hypertension or myocardial infarction, determine whether the pericardium is causing constriction and differentiate it from restrictive cardiomyopathy, which also causes impaired cardiac filling. CASE PRESENTATION A 77-year-old man from a country with high incidence of tuberculosis presented with severe dyspnea. Echocardiography revealed a small left ventricle with normal systolic and mildly impaired diastolic function. Left heart catheterization revealed non-obstructive coronary disease, not felt contributory to the dyspnea. Anatomy imaging with cardiovascular magnetic resonance imaging (CMR) showed global, severely thickened pericardium. Short tau inversion recovery (STIR) sequences for detection of oedema/ inflammation showed increased signal intensity and free breathing sequences confirmed septal flattening on inspiration. Late gadolinium imaging confirmed enhancement in the pericardium, with all findings suggestive of pericardial inflammation and constriction. CONCLUSIONS CMR with STIR sequences, free breathing sequences and late gadolinium imaging can prove extremely useful for diagnosing constrictive pericarditis.
منابع مشابه
Tuberculous constrictive pericarditis with concurrent active pulmonary tuberculous infection: a case report
INTRODUCTION In some particular endemic area, it is not uncommon to see patients with tuberculosis pericarditis. However, it takes a period of time from tuberculous pericarditis to constrictive pericarditis. There is still no report of tuberculous constrictive pericarditis concurrent with active pulmonary TB infection in a patient without previous pulmonary TB infection history. Therefore, we r...
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Ikram, H., Banim, S. O., and Makey, A. R. (1974). Thorax, 29, 204-208. Clinical features of non-tuberculous constrictive pericarditis. This paper describes the clinical features of five cases of constrictive pericarditis of non-tuberculous aetiology. The findings in this syndrome are compared with those in tuberculous constrictive pericarditis. The non-tuberculous variety had a short history, a...
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متن کاملThe Treatment of Tuberculous Pericarditis
Twenty-seven patients with clinically primary tuberculous pericarditis were treated with prolonged chemotherapy consisting of intermittent doses of streptomycin and daily doses of paraminosalicylic acid or isoniazid. Twenty-one patients did well and were symptom-free six months to three years later. Five, one of whom died, developed constrictive pericarditis. Another died of widely disseminated...
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متن کاملThe treatment of tuberculous pericarditis.
Twenty-seven patients with clinically primary tuberculous pericarditis were treated with prolonged chemotherapy consisting of intermittent doses of streptomycin and daily doses of paraminosalicylic acid or isoniazid. Twenty-one patients did well and were symptom-free six months to three years later. Five, one of whom died, developed constrictive pericarditis. Another died of widely disseminated...
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