title: Subacute tuberculous pericarditis with fibroelastic constriction diagnosed upon pericardiectomy.
abstract: A patient with subacute pericarditis showed no evidence suggesting tuberculosis until pericardiectomy was performed because of hemodynamic deterioration. The excised pericardium had a rubbery fibroelastic consistency; histologically, there were granulomatous changes characteristic of tuberculosis. Although tuberculous pericarditis is a difficult diagnosis, this case illustrates the diagnostic and therapeutic importance of early pericardiectomy before myocardial inflammatory infiltration occurs together with end-stage pericardial fibrosis and calcification.
authors.affiliation: Department of Cardiovascular Medicine, Konan Saint Hill Hospital, Ube, Yamaguchi, Japan. tryoke01@ymg.urban.ne.jp
authors.forename: T
authors.initials: T
authors.lastname: Ryoke
authors.forename: H
authors.initials: H
authors.lastname: Kakukawa
authors.forename: H
authors.initials: H
authors.lastname: Kunichika
authors.forename: Y
authors.initials: Y
authors.lastname: Nishimura
authors.forename: H
authors.initials: H
authors.lastname: Sakai
authors.forename: Y
authors.initials: Y
authors.lastname: Minami
authors.forename: T
authors.initials: T
authors.lastname: Fujii
authors.forename: M
authors.initials: M
authors.lastname: Matsuzaki
mesh_terms: D003935:Diagnostic Techniques, Cardiovascular; D005260:Female; D005337:Fibrin; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014381:Tuberculosis, Cardiovascular / Q000150:complications / Q000175:diagnosis* / Q000473:pathology
chemical_list: D005337:Fibrin