ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
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A case of cardiac tamponade caused by tuberculous pericarditis [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2008; 36(7): 482-484

A case of cardiac tamponade caused by tuberculous pericarditis

Alaettin Avşar1, Nuran Kara Günay1, Ataç Çelik2, Mehmet Melek1
1Afyon Kocatepe University, School Of Medicine, Department Of Cardiology, Afyonkarahisar, Turkey
2Cevdet Aykan State Hospital, Department Of Cardiology, Tokat, Turkey

A 71-year-old woman was admitted with a diagnosis of cardiac tamponade. Emergency transthoracic echocardiography showed a large amount of pericardial effusion compressing the whole heart. Pericardiocentesis was performed immediately and nearly 1 liter of hemorrhagic fluid was aspirated. Pathological result of the pericardiocentesis material was benign, acid-resistant bacteria were not found in the pericardial fluid, and bacteria cultures were negative. The only parameter suggesting tuberculous pericarditis was adenosine deaminase activity in the pericardial fluid, which was measured as 76 U/l. With antituberculosis therapy for six months, the patient showed complete improvement; no signs of deterioration were observed and echocardiographic findings were normal.

Keywords: Adenosine deaminase, cardiac tamponade/etiology, echocardiography; pericardial effusion/etiology; pericarditis, tuberculous/diagnosis/therapy

How to cite this article
Alaettin Avşar, Nuran Kara Günay, Ataç Çelik, Mehmet Melek. A case of cardiac tamponade caused by tuberculous pericarditis. Turk Kardiyol Dern Ars. 2008; 36(7): 482-484

Corresponding Author: Alaettin Avşar, Türkiye
Manuscript Language: English


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