Naia Leonor, Rabadão Tiago, Teixeira Mariana, Ferreira Filipa, Pinto Sara, Ferreira Raquel, Eulálio Margarida
Internal Medicine Department, Centro Hospitalar Do Baixo-Vouga, Aveiro, Portugal.
Cardiology Department, Centro Hospitalar Do Baixo-Vouga, Aveiro, Portugal.
J Community Hosp Intern Med Perspect. 2021 Jun 21;11(4):558-562. doi: 10.1080/20009666.2021.1936949.
Tuberculous pericarditis is a rare extra-pulmonary manifestation of tuberculosis observed mainly in developed countries. It usually presents with concomitant tuberculous infection at a different site and, due to the lack of clinical specificity, diagnosis can be difficult. Thus, a diagnostic delay is frequent, entailing increased morbidity and mortality. The authors present a case of disseminated tuberculosis with predominantly cardiac symptoms with multiple negative samples for , which evolved to constrictive pericarditis. With this case report, the authors emphasize the demand for a high index of suspicion for achieving a diagnosis and the importance of a multidisciplinary approach.
结核性心包炎是一种罕见的肺结核肺外表现，主要见于发达国家。它通常伴有其他部位的结核感染，由于缺乏临床特异性，诊断可能困难。因此，诊断延迟很常见，会导致发病率和死亡率增加。作者报告了一例以心脏症状为主的播散性结核病病例，多次样本检测均为阴性，最终发展为缩窄性心包炎。通过本病例报告，作者强调了提高诊断怀疑指数的必要性以及多学科方法的重要性。
