A case report of tuberculous constrictive pericarditis as a sole manifestation of tuberculosis in a male adolescent

  • Michael Jaya Siloam Heart Institute, Jakarta, Indonesia https://orcid.org/0000-0002-7406-4766
  • Arif Sejati Department of Internal Medicine, School of Medicine and Health Sciences, Universitas Katolik Indonesia Atma Jaya, Atma Jaya Hospital, Jakarta, Indonesia; Siloam MRCC Hospital Semanggi, Jakarta, Indonesia
  • Hariadi Hadibrata Siloam Heart Institute, Siloam Hospitals Kebon Jeruk, Jakarta, Indonesia
  • Leonardo Paskah Suciadi Siloam Heart Institute, Siloam Hospitals Kebon Jeruk, Jakarta, Indonesia https://orcid.org/0000-0001-8986-9068
Keywords: colchicine, complete pericardiectomy, constrictive pericarditis, right-sided heart failure, tuberculosis
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Abstract

Constrictive pericarditis is a rare type of pericardial disease that can be caused by various factors. Tuberculosis (TB) is one of the most common causes of this abnormality in Indonesia. Interestingly, tuberculous constrictive pericarditis can occur in the absence of acute pericarditis, pulmonary, or extrapulmonary TB. This case described a male adolescent with refractory right-sided heart failure symptoms who developed a rapidly progressive tuberculous constrictive pericarditis. Various imaging modalities, such as echocardiography, chest computed tomography (CT) scan, cardiac magnetic resonance imaging, and incidental PET/CT scan, were used to diagnose the pericardial abnormality. Histopathological findings in pericardial tissues confirmed the diagnosis. Complete surgical pericardiectomy, in conjunction with anti-TB drugs, diuretics, and colchicine, resulted in a significant clinical improvement.

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Published
2022-06-28
How to Cite
1.
Jaya M, Sejati A, Hadibrata H, Suciadi L. A case report of tuberculous constrictive pericarditis as a sole manifestation of tuberculosis in a male adolescent. Med J Indones [Internet]. 2022Jun.28 [cited 2022Aug.20];1(1). Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/5822
Section
Case Report/Series