Specific Features of Diagnosis, Clinical Course and Treatment of Tuberculosis Pericarditis

Author:

Velikаya O. V.1,Khoroshilovа N. E.1,Lushnikovа A. V.1,Prokushev R. Yu.2

Affiliation:

1. Voronezh State Medical University Named after N.N. Burdenko

2. Voronezh Regional Clinical TB Dispensary Named after N.S. Pokhvisneva

Abstract

The article describes a clinical case of tuberculosis pericarditis in a patient with disseminated pulmonary tuberculosis. X-ray examination of the patient revealed a significant increase in the size of the heart shadow, some fluid in the pericardium up to 1 liter was visualized. The etiology of the disorder was verified by detection of Mycobacterium tuberculosis (MTB) by pericardial fluid culture, and drug sensitivity testing of MTB was performed. Thus an effective treatment regimen was developed, tuberculosis pericarditis and disseminated pulmonary tuberculosis were cured. Echo-CG was used for diagnosis and monitoring of the course of tuberculosis pericarditis.

Publisher

LLC "Medical Knowledge and Technologies"

Subject

General Medicine

Reference4 articles.

1. Blagova O.V., Аlieva I.N., Senchikhin P.V., Nazarova L.D., Chernyavskiy S.V., Sorokin G.Yu., Pavlenko E.V., Sedov V.P., Gagarina N.V., Sarkisova N.D. Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatment. Rossiysky Kardiologicheskiy Journal, 2019, vol. 24, no. 11, pp. 55-62. (In Russ.)

2. Demin А.А., Drobysheva V.P. Pericarditis diseases. Rossiysky Kardiologicheskiy Journal, 2016, vol. 1, no. 129, pp. 90-98. (In Russ.)

3. Kuramshin D.А., Buzina N.E., Stepanova N.А. Pericarditis caused by Mycobacterium tuberculosis (a clinical case). Novaya Nauka: Sovremennoye Sostoyaniye I Puti Razvitiya, 2017, vol. 3, no. 3, pp. 41-44. (In Russ.)

4. ESC Guidelines for the diagnosis and management of pericardial diseases. Eur. Heart J., 2015. http://dx.doi.org/eart10.1093/eurheartj/ehv318

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