Tuberculous pericardial abscess with impending pericardial effusion and cardiac tamponade


  • Areesha Shahid Rashid Latif Medical Complex
  • Muhammad Asif Quaid e Azam Medical College
  • Muhammad Abid D.G. Khan Medical College
  • Muhammad Zarrar Arif Butt Fatima Memorial Hospital, Lahore



Tuberculosis is a typical reason for pericardial emission particularly in the emerging nations. Regardless of the decrease in mortality because of tuberculosis and a general diminishing in the occurrence, tuberculosis and its complexities stay a genuine medical issue. Objectives: The main objective of the study is to analyse the tuberculous pericardial abscess presenting as multiple pericardial effusion and cardiac tamponade. Material and methods: This randomized control trial study was conducted in Rashid Latif medical complex, Lahore during November 2020 to August 2021.  The data was collected from 10 patients. Results: The patients was tachypnoeic, poisonous looking and in sepsis. Their important bodily functions showed the accompanying: respiratory pace of 24 breaths/min and tachycardia of 110 beats/min. Clinical assessment upheld the finding of heart problems. Conclusion: It is concluded that tuberculosis stays a genuine medical condition. In this manner confusions like pericarditis, tamponade and boil are inescapable and in spite of satisfactory medication treatment, 33% to one portion of the patients in the long run require Pericardiectomy


Fatimi SH, Faheem-ul-Haq, Jalil F, Muzaffar M, Hanif HM. Tuberculous pericardial abscess with impending pericardial effusion and cardiac tamponade. J Pak Med Assoc. 2011 Mar;61(3):286-7. PMID: 21465948.

Avşar A, Günay NK, Celik A, Melek M. A case of cardiac tamponade caused by tuberculous pericarditis. Turk Kardiyol Dern Ars. 2008 Oct;36(7):482-4. PMID: 19155666.

Peebles CR, Shambrook JS, Harden SP. Pericardial disease--anatomy and function. Br J Radiol 2011;84:S324-37.

Larrieu AJ, Tyers GF, Williams EH, Derrick J: Recent experience with tuberculous pericarditis. Ann Thorac Surg. 1980, 29:464-468. 10.1016/s0003-4975(10)61681-5

Heller T, Lessells RJ, Wallrauch C, Brunetti E: Tuberculosis pericarditis with cardiac tamponade: management in the resource-limited setting. Am J Trop Med Hyg. 2010, 83:1311-1314. 10.4269/ajtmh.2010.10-0271

Meyers DG, Bagin RG, Levene JF: Electrocardiographic changes in pericardial effusion. Chest. 1993, 104:1422-1426. 10.1378/chest.104.5.1422

Cherian G, Habashy AG, Uthaman B, Hanna RM. Tuberculous pericardial effusion - mediastinal lymph glands: the cause and clue to the etiology. Indian Heart J 2003; 55: 228-33

Quraishi AR, Khan AA, Kazmi KA, Najaf SM, Basir MN, Shafqat A, et al. Clinical and echocardiographic characteristics of patients with significant pericardial effusion requiring pericardiocentesis. J Pak Med Ass 2005; 55: 66-70

Gulati Gs, Sharma S. Pericardial abscess occurring after tuberculous pericarditis: image morphology on computed tomography and magnetic resonance imaging. Clin Radiol 2004; 59: 514-9.

Kameyama K, Huanq CL, Okamoto T, Ishikawa S, Yamamoto Y, Yokomise H. Video-assisted thoracoscopic pericardial fenestration for tuberculous pericardial effusion. Jpn J Thorac Cardiovasc Surg 2004; 52: 68-70.

Gowrinath K, Phani Krishna B, Raghavendra C, Sai Ravi Shankar A: Unusual cause of pyopericardium with tamponade. J Clin Sci Res. 2015, 4:61-64. 10.15380/2277-5706.JCSR.14.001

Sagristà-Sauleda J, Barrabés JA, Permanyer-Miralda G, Soler-Soler J: Purulent pericarditis: review of a 20-year experience in a general hospital. J Am Coll Cardiol. 1993, 22:1661-1665.

Gregory AK, Connery CP, Anagnostopoulos CE. A late complication of tuberculous pericarditis after partial pericardial resection. Ann Thorac Surg 1998; 65: 542-4.

Steinberg C, Pelletier MJ, Perron J, Kumar A, Champagne J. Sudden cardiac arrest due to subtotal absence of left-sided pericardium--case report and review of the literature. Congenit Heart Dis 2013;8:E92-8.

Bogaert J, Francone M. Pericardial disease: value of CT and MR imaging. Radiology 2013;267:340-56.

Dybowska M, Błasińska K, Gątarek J, Klatt M, Augustynowicz-Kopeć E, Tomkowski W, Szturmowicz M. Tuberculous Pericarditis—Own Experiences and Recent Recommendations. Diagnostics. 2022; 12(3):619.

López-López, J.P.; Posada-Martínez, E.L.; Saldarriaga, C.; Wyss, F.; Ponte-Negretti, C.I.; Alexander, B.; Miranda-Arboleda, A.F.; Martínez-Sellés, M.; Baranchuk, A.; The Neglected Tropical Diseases. Tuberculosis and the Heart. J. Am. Heart Assoc. 2021, 10, e019435. [

Isiguzo, G.; Du Bruyn, E.; Howlett, P.; Ntsekhe, M. Diagnosis and Management of Tuberculous Pericarditis: What Is New? Curr. Cardiol. Rep. 2020, 22, 2.

Bizzi, E.; Picchi, C.; Mastrangelo, G.; Imazio, M.; Brucato, A. Recent advances in pericarditis. Eur. J. Intern. Med. 2021, 95, 24–31.

Lima, N.D.A.; Stancic, C.; Vos, D.; Insua, M.M.d.C.D.; Lima, C.C.D.V.; de Castro, R.L.; Maravelas, R.; Melgar, T.A. Hospital admissions for tuberculous pericarditis in the United States 2002–2014. Int. J. Mycobacteriol. 2019, 8, 347–350



DOI: 10.54393/pbmj.v5i2.358
Published: 2022-02-28

How to Cite

Shahid, A. ., Asif, M. ., Abid, M. ., & Arif Butt, M. Z. . (2022). Tuberculous pericardial abscess with impending pericardial effusion and cardiac tamponade. Pakistan BioMedical Journal, 5(2), 156–158.



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