An uncommon detection of Mycobacterium tuberculosis in pericardial effusion


Authors: M. Coufalová 1,2;  V. Polcová 3;  M. Vašáková 3;  J. Smetana 1;  P. Čermák 2;  V. Němečková 2
Authors‘ workplace: Katedra epidemiologie, FVZ UO, Hradec Králové 1;  Oddělení klinické mikrobiologie, Thomayerova nemocnice, Praha 2;  Pneumologická klinika 1. LF UK TN Praha 3
Published in: Epidemiol. Mikrobiol. Imunol. 63, 2014, č. 4, s. 303-306
Category: Review articles, original papers, case report

Overview

Pericardial tuberculosis is a specific pericarditis which is rarely reported in the absence of pulmonary tuberculosis. A case history is presented of a 74-year-old patient, immunocompromised as a result of kidney and liver cancer therapy. Mycobacterium tuberculosis was repeatedly recovered from pericardial effusion but not from other clinical specimens. Despite the early treatment of specific pericarditis, the patient died.

Keywords:
pericardium, tuberculosis, investigation methods


Sources

1. Hayase N, Inokuchi R, Nakamura K, et al. Sudden cardiac arrest caused by tuberculous pericarditis with hemorrhagic pericardial effusionJapanese Society of Internal Medicine.[online]. 2012, 51(22), 3197-3201 [cit. 2013-11-21]. ISSN: 1349-7235. Dostupný na www: https://www.jstage.jst.go.jp/article/internalmedicine/51/22/51_51.7958/_article.

2. Maisch B, Seferovic PM, Ristic AD, et al. Guidelines on the diagnosis and management of pericardial diseases executive summary: The task force on the diagnosis and management of pericardial diseases of the European Society of Cardiology. European Heart Journal.[online]. 2004, 25(7), 587-610 [cit. 2014-01-21]. Dostupný na www: http://www.escardio.org/guidelines-surveys/esc-guidelines/guidelinesdocuments/guidelines-pericardial-ft.pdf.

3. Imazio M, et al. Diagnosis and management of pericardial diseases. Nat. Rev. Cardiol. [online]. 2009, 6, 743–751 [cit. 2014-01-22]. Dostupný na doi:10.1038/nrcardio.2009.185 nebo na www: http://www.isdbweb.org/documents/file/1793_3.pdf.

4. Khandaker MK, Espinos RE, et al. Pericardial Disease: Diagnosis and Management. Mayo Clin Proc. [online]. 2010, 85(6), 572-593 [cit. 2014-01-21]. Dostupný na http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2878263/pdf/mayoclinproc_85_6_012.pdf.

5. Sida-Díaz J, Nuñez-Fragoso J, Martínez-Burciaga J, et al. Tuberculous pericarditis. A case reported and a brief review. Rev Med Inst Mex Seguro Soc [online]. 2011, 49(1), 75‑078 [cit. 2013-11-21]. Dostupný na www: http://www.ncbi.nlm.nih.gov/pubmed/21513665.

6. Seferovic PM, et al. Management strategies in pericardial emergencies. Herz, 2006;31(9):891–900.

7. Mayosi B. Contemporary trends in the epidemiology and management of cardiomyopathy and pericarditis in sub-Saharan Africa. Heart, [online]. 2007, 93, 1176-1183 [cit. 2013-11-15]. Dostupný na www: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2000928/pdf/1176.pdf.

8. Republic of South Africa Department of Health. National Tuberculosis Management Guidelines 2008 [online]. Republic of South Africa Department of Health. 2008 [cit. 2014-03-17]. Dostupný na www: http://www.who.int/hiv/pub/guidelines/south_africa_tb.pdf.

9. Republic of South Africa Department of Health. National Tuberculosis Management Guidelines 2009 [online]. Republic of South Africa Department of Health. 2009 [cit. 2014-03-17]. Dostupný na www: http://familymedicine.ukzn.ac.za/Libraries/Guidelines_Protocols/TB_Guidelines_2009.sflb.ashx.

10. Nováková Z. Výskyt tuberkulózy v České republice v roce 2011 [online]. ÚZIS ČR, Aktuální informace č. 35/2012 [cit. 2013-10-17]. Dostupný na www:

http:/www.uzis.cz/category/tematicke-rady/zdravotnicka-statistika/tuberkuloza-cr.

11. Nováková Z. Výskyt tuberkulózy v České republice v roce 2012 [online]. ÚZIS ČR, Aktuální informace č. 21/2013 [cit. 2013-10-18]. Dostupný na www: http:/www.uzis.cz/category/tematicke-rady/zdravotnicka-statistika/tuberkuloza-cr.

12. Riedel M. Perikardiální výpotek. In: prolekare.cz [online]. [cit. 2014-01-21]. Dostupný na www:

http:/www.prolekare.cz/pdf?ida=kr_03_02_05.pdf.

13. Yan JJ, Huang AH, Tsai SH, et al. Comparison of the MB/BacT and BACTEC MGIT 960 system for recovery of mycobacteria from clinical specimens. Diagn Microbiol Infect Dis, 2000;37:25–30.

14. Drobniewski FA, Caws M, Gibson A, et al. Modern laboratory diagnosis of tuberculosis. Lancet Infect Dis, 2003;3:141-7.

15. Ispahani P, Baker M. Mycobacterial culture: how long? Lancet, 1988;1:305.

16. Thwaites G, Fisher M, Hemingway C, et al. British Infection Society guidelines for the diagnosis and treatment of tuberculosis of the central nervous system in adults and children. J Infect, 2009;59:167–87.

17. Balasingham SV, Davidsen T, Szpinda I, et al. Molecular diagnostics in tuberculosis: basis and implications for therapy. Mol Diagn Ther, 2009;13:137–151.

18. Zatloukal P, Kos S. Tuberkulóza dospělých – standard léčebného plánu. In: pneumologie.cz [online]. [cit. 2014-03-12]. Dostupný na www: http:/www.pneumologie.cz/guidelines.

19. Szabó G, Schmack B, Bulut C, et al. Constrictive pericarditis: risks, aetiologies and outcomes after total pericardiectomy: 24 years of experience. Karck M.Eur J Cardiothorac Surg. [online]. 2013 Jun 12 [cit. 2013-11-21]. Dostupný na www:

http://ejcts.oxfordjournals.org/content/early/2013/06/11/ejcts.ezt138.

Labels
Hygiene and epidemiology Medical virology Clinical microbiology
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