一名伴有体重减轻和心脏压塞的男性：心包结核。

Uribe Pulido Natalí, Osorio Sandoval Germán, Hidrón Botero Alicia, Ribero Vargas Marcel

1st-year infectious diseases fellow, Universidad Pontificia Bolivariana, Calle 78 B # 72 A 159. Medellín, Colombia.

Pathology professor, Universidad de Antioquia, Calle 64 # 51D - 154. Medellín, Colombia.

IDCases. 2021 Aug 10;26:e01248. doi: 10.1016/j.idcr.2021.e01248. eCollection 2021.

We herein described a case of pericardial tuberculosis presenting as a cardiac tamponade in a HIV-negative man with restrictive pericarditis initially, but during treatment with antituberculous drugs and without the addition of corticosteroids, he developed constrictive pericarditis that required surgery. We raise the discussion of the indication of corticosteroids in these cases.

我们在此描述了一例心包结核病例，该病例最初表现为一名HIV阴性男性患有缩窄性心包炎并伴有心脏压塞，但在接受抗结核药物治疗且未加用皮质类固醇的过程中，他发展为缩窄性心包炎，需要进行手术。我们引发了关于这些病例中皮质类固醇使用指征的讨论。