摘要: Although bloody pericardial effusion often suggests neoplasia, such an event is not rare in tuberculosis (TB), especially in those countries with a high tuberculosis disease burden. Meanwhile, tuberculosis accounts for 50% and greater than 90% of large pericardial effusions in human immunodeficiency virus (HIV)-negative and HIV-positive patients, respectively. Here we report a case of a 24-year-old HIV-negative male who presented with fever and hemorrhagic pericardial effusion. The patient was given presumptive anti-TB treatment before diagnosis was established. Eventually the patient responded well to the anti-TB treatment at the last follow up and the diagnosis was confirmed by aspirated pericardial fluid culture on Lowenstein-Jensen (LJ) medium.
Abstract:Although bloody pericardial effusion often suggests neoplasia, such an event is not rare in tuberculosis (TB), especially in those countries with a high tuberculosis disease burden. Meanwhile, tuberculosis accounts for 50% and greater than 90% of large pericardial effusions in human immunodeficiency virus (HIV)-negative and HIV-positive patients, respectively. Here we report a case of a 24-year-old HIV-negative male who presented with fever and hemorrhagic pericardial effusion. The patient was given presumptive anti-TB treatment before diagnosis was established. Eventually the patient responded well to the anti-TB treatment at the last follow up and the diagnosis was confirmed by aspirated pericardial fluid culture on Lowenstein-Jensen (LJ) medium.
金嘉琳; 杨飞飞; 章婉琴; 张文宏. A case report of a 24-year-old male with a large hemorrhagic pericardial effusion[J]. 微生物与感染
, 2011, 6(4): 236-237.
JIN Jia-Lin; YANG Fei-Fei; ZHANG Wan-Qin; ZHANG Wen-Hong. A case report of a 24-year-old male with a large hemorrhagic pericardial effusion. Journal of Microbes and Infections, 2011, 6(4): 236-237.