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A clinical case of tuberculosis with transient constrictive pericarditis and perimyocarditis

Summary

Tuberculous pericarditis is a rare diagnosis seen among as few as 1% of tuberculosis (TB) patients in developed countries. We present a case of a 60-year-old male suffering from a transient constrictive pericarditis and subclinical involvement of the myocardium in a clinical case of tuberculous pericarditis with corresponding improvement after the initiation of anti-tuberculous treatment. We suggest monitoring of myocardial function using global longitudinal strain by myocardial speckle tracking strain analysis as supplement to routine left ventricular ejection fraction to assess clinical improvement in patients at risk of developing constrictive pericarditis.

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Acknowledgments

The authors would like to express their gratitude to Troels Lillebæk and staff at the International Reference Laboratory of Mycobacteriology, Statens Serum Institut, Copenhagen, for providing insights on the burden of tuberculous pericarditis in Denmark throughout the last decade. Furthermore, they wish to thank Lars Christian Gormsen at Department of Nuclear Medicine & PET-Centre, Aarhus University Hospital, for providing clinical images.

Funding

This work did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.

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Correspondence to C. A. Frederiksen MD PhD.

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Mathiasen, V.D., Frederiksen, C.A., Wejse, C. et al. A clinical case of tuberculosis with transient constrictive pericarditis and perimyocarditis. Echo Res Pract 6, K7–K12 (2019). https://doi.org/10.1530/ERP-19-0019

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