A case of tuberculous pericarditis with cardiac tamponade due to a paradoxical response during treatment with anti-tuberculosis drugs.
Tuberculous pericarditis is a serious extrapulmonary complication of tuberculosis (TB) that is difficult to diagnose and can lead to cardiac tamponade. This report describes the case of an immunocompetent man who developed cardiac tamponade due to a paradoxical response during TB treatment. No peric...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250925001167 |
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| author | Tatsuya Kodama Masao Okumura Shunya Igarashi Masashi Nishimura Masashi Ito Hiroyuki Kokuto Kozo Morimoto Yoshiaki Tanaka Hideo Ogata Ken Ohta Takashi Yoshiyama |
| author_facet | Tatsuya Kodama Masao Okumura Shunya Igarashi Masashi Nishimura Masashi Ito Hiroyuki Kokuto Kozo Morimoto Yoshiaki Tanaka Hideo Ogata Ken Ohta Takashi Yoshiyama |
| author_sort | Tatsuya Kodama |
| collection | DOAJ |
| description | Tuberculous pericarditis is a serious extrapulmonary complication of tuberculosis (TB) that is difficult to diagnose and can lead to cardiac tamponade. This report describes the case of an immunocompetent man who developed cardiac tamponade due to a paradoxical response during TB treatment. No pericardial effusion was observed at the time of diagnosis. However, he developed cardiac tamponade 35 days after the initiation of anti-TB drugs. He was treated with emergency pericardial drainage and systemic corticosteroid therapy, after which his hemodynamic status improved. Although there was no recurrence of the increased pericardial effusion, the patient died from a central venous catheter-related bloodstream infection. Cardiac tamponade caused by a paradoxical response is extremely rare in a patient without human immunodeficiency virus infection. Even if there are no findings of tuberculous pericarditis at the time of diagnosis, the possibility of a paradoxical response should be considered in a patient who subsequently develops cardiac tamponade. |
| format | Article |
| id | doaj-art-c68d1eb486864c12bb29629ae3ae1c00 |
| institution | OA Journals |
| issn | 2214-2509 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj-art-c68d1eb486864c12bb29629ae3ae1c002025-08-20T02:31:11ZengElsevierIDCases2214-25092025-01-0140e0226010.1016/j.idcr.2025.e02260A case of tuberculous pericarditis with cardiac tamponade due to a paradoxical response during treatment with anti-tuberculosis drugs.Tatsuya Kodama0Masao Okumura1Shunya Igarashi2Masashi Nishimura3Masashi Ito4Hiroyuki Kokuto5Kozo Morimoto6Yoshiaki Tanaka7Hideo Ogata8Ken Ohta9Takashi Yoshiyama10Corresponding author.; Respiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8522, JapanTuberculous pericarditis is a serious extrapulmonary complication of tuberculosis (TB) that is difficult to diagnose and can lead to cardiac tamponade. This report describes the case of an immunocompetent man who developed cardiac tamponade due to a paradoxical response during TB treatment. No pericardial effusion was observed at the time of diagnosis. However, he developed cardiac tamponade 35 days after the initiation of anti-TB drugs. He was treated with emergency pericardial drainage and systemic corticosteroid therapy, after which his hemodynamic status improved. Although there was no recurrence of the increased pericardial effusion, the patient died from a central venous catheter-related bloodstream infection. Cardiac tamponade caused by a paradoxical response is extremely rare in a patient without human immunodeficiency virus infection. Even if there are no findings of tuberculous pericarditis at the time of diagnosis, the possibility of a paradoxical response should be considered in a patient who subsequently develops cardiac tamponade.http://www.sciencedirect.com/science/article/pii/S2214250925001167Tuberculous pericarditisCardiac tamponadeParadoxical response |
| spellingShingle | Tatsuya Kodama Masao Okumura Shunya Igarashi Masashi Nishimura Masashi Ito Hiroyuki Kokuto Kozo Morimoto Yoshiaki Tanaka Hideo Ogata Ken Ohta Takashi Yoshiyama A case of tuberculous pericarditis with cardiac tamponade due to a paradoxical response during treatment with anti-tuberculosis drugs. IDCases Tuberculous pericarditis Cardiac tamponade Paradoxical response |
| title | A case of tuberculous pericarditis with cardiac tamponade due to a paradoxical response during treatment with anti-tuberculosis drugs. |
| title_full | A case of tuberculous pericarditis with cardiac tamponade due to a paradoxical response during treatment with anti-tuberculosis drugs. |
| title_fullStr | A case of tuberculous pericarditis with cardiac tamponade due to a paradoxical response during treatment with anti-tuberculosis drugs. |
| title_full_unstemmed | A case of tuberculous pericarditis with cardiac tamponade due to a paradoxical response during treatment with anti-tuberculosis drugs. |
| title_short | A case of tuberculous pericarditis with cardiac tamponade due to a paradoxical response during treatment with anti-tuberculosis drugs. |
| title_sort | case of tuberculous pericarditis with cardiac tamponade due to a paradoxical response during treatment with anti tuberculosis drugs |
| topic | Tuberculous pericarditis Cardiac tamponade Paradoxical response |
| url | http://www.sciencedirect.com/science/article/pii/S2214250925001167 |
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