Value of Tygerberg Scoring for the Diagnosis and Management of Tuberculous Pericarditis

Pangaribuan, Achnes and Kurniyanto, and Gaol, Donnie Lumban and Tanggo, Yunus (2012) Value of Tygerberg Scoring for the Diagnosis and Management of Tuberculous Pericarditis. Majalah Kedokteran FK UKI, 28. pp. 167-171. ISSN 0216 4752

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Abstract

Extra pulmonary tuberculosis occurs in 20% of patients with tuberculosis. Tuberculosis pericarditis is seen in 1-8% of these patients. Tuberculosis has been reported to be the cause of acute pericarditis in 60-80% of the patients in the developing world. We reported a case of 19 years old male who presented with right chest pain, cough, breathlessness, night sweat, fever, fatigue, and weight loss. From the physical examination, jugular venous pressure was high and on auscultation, the heart sounds were muffled and associated with a pericardial rub. The chest x-ray revealed enlargement of cardiac silhouette. Transthoracic echocardiography showed pericardial effusion, and mantoux tuberculin skin test were positive. Since the pericardiocentesis is not feasible in our hospital, the tygerberg tuberculous pericarditis score was applied. Furthermore, patients were given anti-TB treatment, and showed a good response to treatment.

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