Catheter drainage of tuberculous pericarditis

Case contributed by Paresh K Desai , 26 Aug 2009
Diagnosis certain
Changed by Craig Hacking, 5 Feb 2019

Updates to Case Attributes

Presentation was changed:
Fever ,and breathlessness.
Body was changed:

14 year old child with tubercular pleural and pericardial effusion.

Decortication was performed on left side. Pericardial effusion was aspirated with a wide bore needle on 3 occasions, it reaccumulated immediately.

Ultimately a 8F pigtail catheter was inserted under ultrasound guidance.

Pericardial fluid yielded - high adenosine deaminase and lymphocytosis.

Patient gradually improved on anti-tubercular therapy.

  • -<p>14 year old child with tubercular pleural and pericardial effusion.</p><p>Decortication was performed on left side. Pericardial effusion was aspirated with a wide bore needle on 3 occasions, it reaccumulated immediately.</p><p>Ultimately a 8F pigtail catheter was inserted under ultrasound guidance.</p><p> </p><p>Pericardial fluid yielded - high adenosine deaminase and lymphocytosis.</p><p> </p><p>Patient gradually improved on anti-tubercular therapy</p>
  • +<p>14 year old child with tubercular pleural and pericardial effusion.</p><p>Decortication was performed on left side. Pericardial effusion was aspirated with a wide bore needle on 3 occasions, it reaccumulated immediately.</p><p>Ultimately a 8F pigtail catheter was inserted under ultrasound guidance.</p><p>Pericardial fluid yielded - high adenosine deaminase and lymphocytosis.</p><p>Patient gradually improved on anti-tubercular therapy.</p>

Updates to Study Attributes

Findings was changed:

Drainage catheters in situ.

Cardiomegaly.

Opaque hemithorax on left side.

Left side intercostal drainage catheter in situ.

Updates to Study Attributes

Findings was changed:

Drainage catheters in situ.Pericardial. Pericardial effusion seen.

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