Tuberculous pericarditis-a silent and challenging disease: A case report

Figure 1 Low-voltage electrocardiogram (defined as QRS < 5 mm in limb shunts).

Figure 2 Chest X-ray. Global cardiomegaly with enlarging cardiothoracic ratio and "water bottle” configuration.

Figure 3 2D echocardiography. A: Echo-free space, or anechoic zone, between both layers of the pericardium of 27 mm (arrow) corresponding to pericardial effusion. The left ventricular ejection fraction was 60%, without segmental contractility disorders; B: Isoechoic image (arrow) at the level of the pericardial fluid that corresponds to a septum.

Figure 4 Chest computed tomography. A-C: Axial (A), sagittal (B), and coronal (C) computed tomography showing severe pericardial effusion thickness of up to 25 mm (arrows); D: No evidence of right ventricular free wall flattening. The breast implants had no signs of extracapsular rupture.