PDF(Pubmed)
Abstract：
Tuberculosis can present at various extrapulmonary sites. However, even in endemic countries, concomitant involvement of different sites in the same patient is rarely reported. Further, tuberculous pericarditis represents a fraction of all tuberculosis infections and is an uncommon form of extrapulmonary tuberculosis. In underdeveloped nations, it is the most frequent cause of massive pericardial effusion. Additionally, it is the most common cause of constrictive pericarditis in adults, which has a high death rate and a poor prognosis. Furthermore, concomitant pleural effusion due to Mycobacterium tuberculosis is infrequently reported. Herein, a case of concomitant pericardial and left-sided pleural effusion in an Indian female is reported. She came with complaints of breathlessness, chest pain, night sweats, and loss of appetite. A diagnostic pleural thoracentesis and pericardiocentesis helped establish the diagnosis, and she was commenced on antituberculous treatment for 168 days.
摘要：
结核病可以出现在各种肺外部位。然而,即使在流行国家，很少报道同一患者的不同部位同时受累.Further,结核性心包炎占所有结核感染的一小部分，是肺外结核的一种罕见形式。在不发达国家，它是大量心包积液的最常见原因。此外,它是成人缩窄性心包炎的最常见原因，死亡率高，预后差。此外，结核分枝杆菌并发胸腔积液的报道很少见.在这里，据报道，一名印度女性并发心包和左侧胸腔积液。她带着呼吸困难的抱怨来了，胸痛,盗汗,和食欲不振。诊断性胸膜胸腔穿刺术和心包穿刺术有助于建立诊断，她开始抗结核治疗168天。
