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Specific Features of Diagnosis, Clinical Course and Treatment of Tuberculosis Pericarditis

https://doi.org/10.21292/2075-1230-2022-100-2-39-43

Abstract

The article describes a clinical case of tuberculosis pericarditis in a patient with disseminated pulmonary tuberculosis. X-ray examination of the patient revealed a significant increase in the size of the heart shadow, some fluid in the pericardium up to 1 liter was visualized. The etiology of the disorder was verified by detection of Mycobacterium tuberculosis (MTB) by pericardial fluid culture, and drug sensitivity testing of MTB was performed. Thus an effective treatment regimen was developed, tuberculosis pericarditis and disseminated pulmonary tuberculosis were cured. Echo-CG was used for diagnosis and monitoring of the course of tuberculosis pericarditis.

About the Authors

O. V. Velikаya
Voronezh State Medical University Named after N.N. Burdenko
Russian Federation

Olga V. Velikaya - Doctor of Medical Sciences, Head of Phthisiology Department.

10, Studencheskaya St., Voronezh, 394036. Phone: +7 (473) 237-28-54



N. E. Khoroshilovа
Voronezh State Medical University Named after N.N. Burdenko
Russian Federation

Nadezhda E. Khoroshilova - Candidate of Medical Sciences, Associate Professor of Phthisiology Department.

10, Studencheskaya St., Voronezh, 394036. Phone: +7 (473) 237-28-54



A. V. Lushnikovа
Voronezh State Medical University Named after N.N. Burdenko
Russian Federation

Anna V. Lushnikova - Candidate of Medical Sciences, Associate Professor of Phthisiology Department.

10, Studencheskaya St., Voronezh, 394036. Phone: +7 (473) 237-28-54



R. Yu. Prokushev
Voronezh Regional Clinical TB Dispensary Named after N.S. Pokhvisneva
Russian Federation

Roman Yu. Prokushev - Head of Department.

1, Teplichnaya St., Voronezh, 394070. Phone: +7 (473) 234-38-05



References

1. Blagova O.V., Аlieva I.N., Senchikhin P.V., Nazarova L.D., Chernyavskiy S.V., Sorokin G.Yu., Pavlenko E.V., Sedov V.P., Gagarina N.V., Sarkisova N.D. Massive tuberculous exudative pericarditis under the guise of hydropericardium in a patient with non-compaction cardiomyopathy: diagnosis and treatment. Rossiysky Kardiologicheskiy Journal, 2019, vol. 24, no. 11, pp. 55-62. (In Russ.)

2. Demin А.А., Drobysheva V.P. Pericarditis diseases. Rossiysky Kardiologicheskiy Journal, 2016, vol. 1, no. 129, pp. 90-98. (In Russ.)

3. Kuramshin D.А., Buzina N.E., Stepanova N.А. Pericarditis caused by Mycobacterium tuberculosis (a clinical case). Novaya Nauka: Sovremennoye Sostoyaniye I Puti Razvitiya, 2017, vol. 3, no. 3, pp. 41-44. (In Russ.)

4. ESC Guidelines for the diagnosis and management of pericardial diseases. Eur. Heart J., 2015. http://dx.doi.org/eart10.1093/eurheartj/ehv318


Review

For citations:


Velikаya O.V., Khoroshilovа N.E., Lushnikovа A.V., Prokushev R.Yu. Specific Features of Diagnosis, Clinical Course and Treatment of Tuberculosis Pericarditis. Tuberculosis and Lung Diseases. 2022;100(2):39-43. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-2-39-43

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ISSN 2075-1230 (Print)
ISSN 2542-1506 (Online)