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CASE REPORT article
Front. Cardiovasc. Med.
Sec. General Cardiovascular Medicine
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1529400
This article is part of the Research TopicCase Reports in General Cardiovascular Medicine: 2024View all 7 articles
Case Report ：Extrapulmonary tuberculosis presenting as multiple caseous pericardial masses
Provisionally accepted- The Affiliated Hospital of Qingdao University, Qingdao, China
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The diagnosis of tuberculous pericarditis presenting as a hemorrhagic pericardial effusion is not difficult to make, but the presence of multiple pericardial masses in tuberculous pericarditis is uncommon. The article reports a 55-year-old Asian woman with a 10-day history of fever, chest tightness and shortness of breath. Laboratory investigations revealed an elevated C-reactive protein and erythrocyte sedimentation rate, and echocardiography showed a small amount of pericardial effusion associated with multiple pericardial caseous masses (up to approximately 2.4 cm × 6.9 cm) without pericardial constriction. Ten mL of bloody pericardial effusion was punctured and sent for pathology without malignant cells, and malignant mesothelioma was excluded in combination with PET-CT results. The diagnosis of extrapulmonary tuberculosis was finally confirmed by a positive Mantoux test and positive tuberculosis immunoreactivity, and the patient is now receiving standardized anti-tuberculosis treatment in a specialist hospital. Nowadays, the diagnosis of tuberculous pericarditis is not difficult, but the symptoms of a concomitant giant mass are rare, and its nature and treatment options (including drugs or surgery) are worth exploring.extrapulmonary tuberculosis 1, pericardial multiple caseous masses 2, bloody pericardial effusion 3, pleural effusion 4, tuberculous pericarditis 5. (Min.
Keywords: Extrapulmonary tuberculosis, pericardial multiple caseous masses, Bloody pericardial effusion, Pleural Effusion, Tuberculous pericarditis
Received: 16 Nov 2024; Accepted: 15 Apr 2025.
Copyright: © 2025 Wang, Zhang, Li, Fang and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Wenzhong Zhang, The Affiliated Hospital of Qingdao University, Qingdao, China
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