SO-CALLED CLINICALLY PRIMARY TUBERCULOUS PERICARDITIS

Primary pericardial mesothelioma presenting as tuberculous pericarditis.

Ante-mortem diagnosis of primary pericardial mesothelioma is very rare. We report a case which presented clinically as tuberculous constrictive pericarditis. The patient underwent pericardial resection with an immediate haemodynamic benefit, although the malignant process progressed, and he died 14 weeks later.

Tuberculous pericarditis.

BACKGROUND The incidence of tuberculous pericarditis is increasing in Africa as a result of the human immunodeficiency virus (HIV) epidemic. The primary objective of this article was to review and summarize the literature on the pathogenesis, diagnosis, and management of tuberculous pericarditis. METHODS AND RESULTS We searched MEDLINE (January 1966 to May 2005) and the Cochrane Library (Issu...

Tuberculous Pericarditis

White (1937) however state that it is not so rare as is generally supposed. MacCallum (1928) states that tubercle bacillus is one of the common causative organisms in cases of pericarditis and Wells (1901, 1902) to whose work Pyrah and Pain referred states that he found 10 cases of tuberculous pericarditis in 1,048 autopsies. Incidence in India is not known to the writer but presumably it is hi...

Tuberculous pericarditis.

Melioidosis pericarditis mimicking tuberculous pericarditis.

Cases of melioidosis (N = 2) and tuberculous pericarditis (N = 33) during 1996-2006 were reviewed. Clinical presentations were similar, but pericardial pathological findings were not. Nine of 12 patients with melioidosis required pericardectomy. In areas where these diseases are endemic, pericardial fluid culture and pericardial biopsy can differentiate between melioidosis and tuberculosis.