Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2022; 10(6): 1869-1875
Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1869
Tuberculous pericarditis-a silent and challenging disease: A case report
Oscar David Lucero, Marlon Mauricio Bustos, Darwin Jhoan Ariza Rodríguez, Juan Camilo Perez
Oscar David Lucero, Marlon Mauricio Bustos, Department of Internal Medicine, Hospital Universitario San Ignacio, Bogotá 110231, Colombia
Darwin Jhoan Ariza Rodríguez, Juan Camilo Perez, Internal Medicine Resident, Pontificia Universidad Javeriana, Bogotá 110231, Colombia
Author contributions: Bustos MM participated in the conception of the work and review of the final version; Lucero OD contributed to the conception of the work and the preparation of the manuscript; Ariza Rodríguez DJ participated in the preparation of the manuscript and the bibliographic review; Perez JC participated in the design of the work and analysis; all authors have read and approved the final manuscript.
Informed consent statement: Written consent was provided by the patient.
Conflict-of-interest statement: The authors have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Oscar David Lucero, MD, Doctor, Department of Internal Medicine, Hospital Universitario San Ignacio, Cra. 7 No. 40-62, Bogotá 110231, Colombia. oscardavidlucero21@gmail.com
Received: June 21, 2021
Peer-review started: June 21, 2021
First decision: July 26, 2021
Revised: September 7, 2021
Accepted: January 19, 2022
Article in press: January 19, 2022
Published online: February 26, 2022
Processing time: 246 Days and 22 Hours
Core Tip

Core Tip: Tuberculous pericarditis should be suspected in the evaluation of all cases of pericarditis that do not have a self-limited course. The present case identifies the usefulness of the study of Adenosine deaminase in the pericardial fluid and the performance of polymerase chain reaction for Mycobacterium tuberculosis in the biopsy, thanks to which the diagnosis could be confirmed. Management is based on the use of rifampin, isoniazid, ethambutol, and pyrazinamide.