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Current Cardiology Reviews

Eiditor-in-Chief

ISSN (Print): 1573-403X
ISSN (Online): 1875-6557

Tuberculous Pericarditis

Author(s): Faisal Al-Shehri, Kwan L. Chan, Carole Dennie and John P. Veinot

Volume 1 , Issue 2 , 2005

Page: [165 - 169] Pages: 5

DOI: 10.2174/1573403054021627

Price: $58

Abstract

Pericarditis is a rare manifestation of tuberculous disease. The appropriate diagnostic workup and optimal therapeutic management are not well defined. The etiology of constrictive pericarditis is often obscure, but is frequently associated with viral infection and tuberculosis, especially in the developing countries. The disease has decreased in industrialized countries but continues to be important in immunosuppressed patients including those with HIV/AIDS. The literature suggests that the optimal management includes an open pericardial window with pericardial biopsy, both for diagnosis and to prevent fluid reaccumulation. Corticosteroids may offer some benefit. The objectives of this review are to review the pathogenesis and clinical manifestations of tuberculous pericarditis, highlight the diagnostic difficulties, and discuss optimal case management including surgery, and the potential role of corticosteroids.

Keywords: constriction, mycobacterium, pericardium, pathology, tuberculosis


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