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Journal of Case Reports
Severe Calcific Chronic Constrictive Tuberculous Pericarditis
Hao Thai Phan
Department of Internal Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
Corresponding Author:
Dr Hao Thai Phan
Email: phanthaihao@yahoo.com
Received: 10-JAN-2018 Accepted: 26-DEC-2018 Published Online: 10-JAN-2019
DOI: http://dx.doi.org/10.17659/01.2019.0002
Background: The diagnosis of constrictive pericarditis requires a high degree of clinical suspicion due to non-specific sign and symptoms. In endemic area like Vietnam the presentation of constrictive tuberculous pericarditis is common. Here we report a case of severe calcific chronic constrictive tuberculous pericarditis. Case Report: A 25-year-old Vietnamese man presented with fatigue, progressive exertional dyspnea, ankle edema, puffiness of face, abdominal distention, non-productive cough, weight loss, night sweat, and  evening fever. After physical examination and investigation, the patient was diagnosed as constrictive pericarditis. Histopathology of pericardial tissue removed via pericardiectomy confirmed the diagnosis of tuberculous pericarditis. Conclusion: A high index of suspicion for constrictive pericarditis consists of the association of signs and symptoms of right heart failure and impaired diastolic filling due to pericardial constriction. The mainstay of treatment of chronic constrictive tuberculous pericarditis is pericardiectomy and anti-tubercular therapy.
Keywords : Constrictive Pericarditis, Edema, Pericardiectomy, Tuberculous Pericarditis, Weight Loss.
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