title: Mediastinal tubercular lymph node eroding into pericardium causing acute pyopericardium and cardiac tamponade.
abstract: Cardiac tamponade due to tuberculosis is a well-known complication. However, acute erosion of TB lymphadenitis and its caseous material into the pericardium causing pericardial tamponade is rare. We describe a case of extensive mediastinal tubercular lymph node mass in which the caseous necrotic material found its way into pericardial sac causing acute pyopericardium and cardiac tamponade.
authors.affiliation: Assistant Professor, Department of Pulmonary Medicine, ESIC Medical College and Postgraduate Institute of Medical Science and Research, India.
authors.forename: Sangeeth Kumar
authors.initials: SK
authors.lastname: Kasilingam
authors.forename: Nishant
authors.initials: N
authors.lastname: Sinha
authors.forename: Vivekanand
authors.initials: V
authors.lastname: Kambar
authors.forename: Manjunath B
authors.initials: MB
authors.lastname: Govindagoudar
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D062906:Cardiac Catheters; D002305:Cardiac Tamponade / Q000209:etiology*; D004322:Drainage; D004452:Echocardiography; D006801:Humans; D008482:Mediastinum; D008875:Middle Aged; D010490:Pericardial Effusion / Q000150:complications / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents
keywords: Cardiovascular; treatment; tuberculosis