A Case of Disseminated Tuberculosis Presented with Features of Heart Failure

Romal Chowhury1, Syed Nesar Ahmed1, Nihar Ranjan Saha2, Md Abdul Qayyum2 , Mohammed,Kamrul Hasan3, Md Khairul Hassan Jessy4

Abstract
Mycobacterium tuberculosis infection should be taken into consideration during diagnostic evaluations
for constrictive pericarditis in some endemic area. Rapid diagnosis and treatment of constrictive pericarditis
is crucial to reduce morbidity and mortality. Surgical intervention is still the treatment of choice when the
patient has the symptoms or signs of constrictive pericarditis and right heart failure. We report a case of
18-year-old male with tuberculous constrictive pericarditis with concurrent right sided pleural effusion,
presenting with abdominal distension and dyspnea on exertion, found to be caused by right heart failure.
The patient was cured by pericardial stripping and anti-tuberculosis chemotherapy.
Key Words: Tuberculosis, Constrictive pericarditis.

Download PDF