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Disseminated tuberculosis presenting as cardiac tamponade—Uncommon presentation in common disease
Majed A B Momin1, Pawan Poddar2, Amit K Sarda3, Dharmendra K Borad4
1 Department of Laboratory Medicine, Yashoda Hospital—Malakpet, Malakpet, Hyderabad, Telangana, India
2 Department of Interventional Cardiologist, Yashoda Hospital—Malakpet, Malakpet, Hyderabad, Telangana, India
3 Department of Medicine, Yashoda Hospital—Malakpet, Malakpet, Hyderabad, Telangana, India
4 Department of Radiology, Yashoda Hospital—Malakpet, Malakpet, Hyderabad, Telangana, India
Correspondence Address:
Dr. Majed A B Momin
Department of Laboratory Medicine, Yashoda Hospital—Malakpet, Nalgonda x-roads, Hyderabad 500036, Telangana
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/mgmj.mgmj_62_21
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Tuberculosis is the most common infection in India, and its incidence accounts for approximately one-fifth of the global burden. Cardiac tamponade resulting from the liver abscess with subdiaphragmatic rupture communicating with pericardial cavity presenting as disseminated tuberculosis is uncommon. Here, we reported a case of a 63-year-old man who presented with the shortness of breath for 3 days with orthopnea. Imaging studies reveal pericardial effusion, left liver lobe loculated lesion, and enlarged right supraclavicular lymph node. Further image-guided pericardiocentesis, left liver lobe aspiration cytology, and right supraclavicular lymph node cytology reveal granulomatous inflammation with positive acid-fast bacillus in the liver aspirate. The patient was managed in the emergency room symptomatically initially and was then successfully treated with antituberculous treatment. |
