| Summary: | Introduction: the tuberculous pericarditis (TP) is a potentially lethal complication of
the Mycobacterium tuberculosis infection. Occasionally it could come to advance stages
and to produce cardiac tamponade.
Case report: a case report of a 39-year-old male patient, drug-dependent and HIV
carrier with irregular treatment is presented. Attended in the Hospital Universitario del
Caribe in Cartagena. Colombia. The patient consulted for respiratory and cardiovascular
symptomatology, by which it was initially considered the heart failure and pneumonia.
Subsequently the clinical symptomatology suggestive of cardiac tamponade were
installed and confirmed by thoracic radiography and echocardiogram. And the
tamponade was treated with puncture and pericardial window. The diagnosis of TP
was confirmed by the pericardial biopsy and treated with antituberculous drugs with
adequate improvement.
Conclusions: the TP is chronic symptomatology that could lead to an acute phase, of high
mortality, as it is the cardiac tamponade. The elevated clinical suspicion, the images, the
laboratory and the histopathology allow to confirm them and the opportune intervention
reduces the morbidity and mortality. Rev.cienc.biomed. 2014;5(2):329-335.
KEYWORDS
Tuberculous pericarditis, Pericardial effusion, cardiac tamponade.
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