::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

TUBERCULOUS PERICARDIAL ABSCESS WITH IMPENDING PERICARDIAL EFFUSION AND CARDIAC TAMPONADE

AUTHORS:

Dr. Muhammad Ammar Arif , Dr Ushba Fatima, Dr Muhammad Mansha

ABSTRACT:

Introduction: Since 1921, Bacillus Calmette-Guérin (BCG) vaccine has been given to infants to reduce the risk of tuberculosis (TB) disease, and disseminated TB. Objectives of the study: The main objective of the study is to analyse the tuberculous pericardial abscess with impending pericardial effusion and cardiac tamponade. Material and methods: This descriptive study was conducted in Shalimar Hospital, Lahore during June 2019 to January 2020. The data was collected from 10 patients. General physical and systemic examination was unremarkable and patients was vitally stable. Four days later they returned with e persisting fever, cough, dyspnoea and haemoptysis. Results: The patients was tachypnoeic, toxic looking and in sepsis. Their vital signs showed the following: respiratory rate of 24 breaths/min, tachycardia of 110 beats/min, blood pressure of 127/68 mmHg and temperature of 38°C. Clinical examination supported the diagnosis of cardiac tamponade. Jugular venous pulse was raised and on auscultation, the heart sounds were muffled and associated with a pericardial rub. Conclusion: It is concluded that tuberculosis remains a serious health problem. Thus complications like pericarditis, tamponade and abscess are imminent and despite adequate drug therapy, one third to one half of the patients eventually require Pericardiectomy.