Use of the rapid molecular test in the diagnosis of pericardial tuberculosis: a case report

Authors

  • Andréia Moreira dos Santos Carmo
  • Maria Cecilia Cergole Novella
  • Paolo Jose Cesare Biselli
  • Wagner Issao Hoshino
  • Akemi Oshiro Guirelli
  • Valéria dos Santos Candido

DOI:

https://doi.org/10.18554/refacs.v5i2.2067

Keywords:

tuberculous pericarditis, real-time polymerase chain reaction, Mycobacterium tuberculosis

Abstract

This study aims at reporting the case of a patience who presented with drowsiness and mental confusion, received in the emergency room of a university hospital in São Paulo. Symptoms included fever, weight-loss and pneumonia. Computerized tomography and ecocardiography found: attenuation of the mediastinum, pleural effusions, discrete centrilobular opaqueness in both lung lobes and mediastinum lymph nodes, left ventricle diffuse hypokinesia with a discrete systolic dysfunction, left atrium dilation and moderate pericardial effusion. The patient presented positive serology for the human immunodeficiency virus (HIV). Baciloscopies of pleural liquid, pericardial liquid and catarrh were negative; the rapid molecular test (RMT-TB) of the pericardial liquid, however, was positive for Mycobacterium tuberculosis, with no rifampicin resistance. The culture evidenced the growth of M. tuberculosis. An anti-retroviral treatment for TB was started. The access to the RMT-TB in cases of extrapulmonary tuberculosis is paramount for an early diagnosis, with direct impact in the prognosis of serious cases of patients who are co-infected by HIV/TB.

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Published

2017-04-11

How to Cite

Carmo, A. M. dos S., Novella, M. C. C., Biselli, P. J. C., Hoshino, W. I., Guirelli, A. O., & Candido, V. dos S. (2017). Use of the rapid molecular test in the diagnosis of pericardial tuberculosis: a case report. JOURNAL FAMILY, CYCLES OF LIFE AND HEALTH IN SOCIAL CONTEXT, 5(2), 263–268. https://doi.org/10.18554/refacs.v5i2.2067

Issue

Vol. 5 No. 2 (2017): Maio a Agosto

Section

Case Study

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