title: Presentation of tuberculosis as isolated massive pericardial effusion in a patient with rheumatoid arthritis.
abstract: The case of a 60 year old male patient, diagnosed with rheumatoid arthritis presenting with recurrent massive pericardial effusion, and unresponsive to treatment of rheumatoid arthritis is documented. Pericardial biopsy proved Tuberculous pericarditis with positive fluid culture for Mycobacterium Tuberculosis. Anti-tuberculous treatment was started along with corticosteroids. Follow up after three months showed no evidence of pericardial effusion.
authors.affiliation: National Institute of Cardiovascular Diseases, Karachi.
authors.forename: Sultana
authors.initials: S
authors.lastname: Habib
authors.forename: Parveen
authors.initials: P
authors.lastname: Akhter
authors.forename: Salma
authors.initials: S
authors.lastname: Razzak
authors.forename: Zahid
authors.initials: Z
authors.lastname: Jamal
authors.forename: Ishtiaq
authors.initials: I
authors.lastname: Rasool
authors.forename: Khan Shah
authors.initials: KS
authors.lastname: Zaman
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D001706:Biopsy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D010490:Pericardial Effusion / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D010495:Pericarditis, Tuberculous / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D012008:Recurrence; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones