Yadav Sankalp
Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND.
Cureus. 2024 May 2;16(5):e59546. doi: 10.7759/cureus.59546. eCollection 2024 May.
Tuberculosis can present at various extrapulmonary sites. However, even in endemic countries, concomitant involvement of different sites in the same patient is rarely reported. Further, tuberculous pericarditis represents a fraction of all tuberculosis infections and is an uncommon form of extrapulmonary tuberculosis. In underdeveloped nations, it is the most frequent cause of massive pericardial effusion. Additionally, it is the most common cause of constrictive pericarditis in adults, which has a high death rate and a poor prognosis. Furthermore, concomitant pleural effusion due to is infrequently reported. Herein, a case of concomitant pericardial and left-sided pleural effusion in an Indian female is reported. She came with complaints of breathlessness, chest pain, night sweats, and loss of appetite. A diagnostic pleural thoracentesis and pericardiocentesis helped establish the diagnosis, and she was commenced on antituberculous treatment for 168 days.
结核病可出现在各种肺外部位。然而，即使在结核病流行国家，同一患者不同部位同时受累的情况也鲜有报道。此外，结核性心包炎占所有结核病感染的一部分，是一种不常见的肺外结核形式。在不发达国家，它是大量心包积液最常见的原因。此外，它是成人缩窄性心包炎最常见的原因，死亡率高且预后差。此外，由[此处原文缺失相关病因]导致的合并胸腔积液也鲜有报道。在此，报告一例印度女性同时出现心包积液和左侧胸腔积液的病例。她因呼吸急促、胸痛、盗汗和食欲不振前来就诊。诊断性胸腔穿刺术和心包穿刺术有助于确诊，随后她开始接受168天的抗结核治疗。
