title: Pericardial tamponade due to synergistic effects of tuberculosis and myxedema.
abstract: Tuberculosis is a leading cause of massive pericardial effusion and tamponade especially in underdeveloped and developing countries. Hypothyroidism is also associated with pericardial effusion with rare progression to tamponade. We present a case of pericardial tamponade who diagnosed as both tuberculosis and myxedema at admission. Urgent pericardiocentesis performed as an initial therapy and four-agents antituberculous and thyroxine replacement therapy started immediately as long-term management. Coexistance of tuberculosis and myxedema is a rare condition and they can cause tamponade formation with synergistic effect. Such a additive etiologies of pericardial tamponade have not been reported.
authors.affiliation: Istanbul Medicine Hospital, Department of Cardiology, Hoca Ahmet Yesevi Cad. No: 149, 34203, Istanbul, Turkey. drkarabulut@yahoo.com
authors.forename: Ahmet
authors.initials: A
authors.lastname: Karabulut
authors.forename: Mahmut
authors.initials: M
authors.lastname: Cakmak
mesh_terms: D002305:Cardiac Tamponade / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications; D008875:Middle Aged; D009230:Myxedema / Q000150:complications*; D010490:Pericardial Effusion / Q000209:etiology; D020519:Pericardiocentesis; D010495:Pericarditis, Tuberculous / Q000150:complications*