Tuberculosis pericarditis with cardiac tamponade: management in the resource-limited setting.
We report a case of human immunodeficiency virus-associated pericardial tuberculosis complicated by cardiac tamponade. Emergency management and subsequent therapeutic interventions are described and then discussed with particular focus on resource-limited settings. The paucity of evidence to support clinical decisions is emphasized and the need for well designed diagnostic and therapeutic studies is highlighted.
Hlabisa Hospital, Hlabisa, KwaZulu-Natal, South Africa. echnatom@web.de
Tom
T
Heller
Richard J
RJ
Lessells
Claudia
C
Wallrauch
Enrico
E
Brunetti
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use*; D002305:Cardiac Tamponade / Q000150:complications* / Q000628:therapy; D015658:HIV Infections / Q000150:complications* / Q000453:epidemiology; D006801:Humans; D008297:Male; D020519:Pericardiocentesis; D010495:Pericarditis, Tuberculous / Q000150:complications* / Q000628:therapy*; D011239:Prednisolone / Q000627:therapeutic use*; D013019:South Africa / Q000453:epidemiology
D000893:Anti-Inflammatory Agents; D000995:Antitubercular Agents; D011239:Prednisolone