Tuberculous pericarditis with tamponade diagnosed concomitantly with COVID-19: a case report.

ABSTRACT:

Background

Tuberculous pericarditis is a rare manifestation of tuberculosis infection. COVID-19 pandemic poses a challenge in detecting uncommon diseases.

Case summary

A 47-year-old man was admitted with symptoms of COVID-19 infection. Rapid progression of cardiomegaly on radiograph with clinical deterioration were suggestive of pericardial tamponade. Urgent pericardiocentesis revealed haemoserous fluid, elevated adenosine deaminase, and positive tuberculous (TB) polymerase chain reaction (PCR). He was started on anti-TB therapy and Remdesivir with marked improvement of symptoms. Repeat echocardiogram and CT thorax showed resolution of pericardial fluid, and the patient remained well on discharge.

Discussion

This case highlights the difficulty in detecting a concomita

SUBMITTER: Wong SW 

PROVIDER: S-EPMC7898573 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature