Article Dans Une Revue Asian Journal of Cardiology Research Année : 2025

Tuberculous Constrictive Pericarditis Presenting with Isolated Pleural Effusion: Diagnostic Value of Transthoracic Echocardiography

Résumé

Aims: To highlight the diagnostic role of transthoracic echocardiography (TTE) in tuberculous constrictive pericarditis (CP) presenting atypically as isolated pleural effusion, and to emphasize the importance of early multimodal imaging in TB-endemic regions. Presentation of Case: A 36-year-old man with no comorbidities presented with progressive dyspnea and bilateral pleural effusion. Initial workup (CT, pleural biopsy) was inconclusive. TTE revealed classic CP features: pericardial thickening, septal bounce, and hepatic vein expiratory reversal. Cardiac MRI confirmed the diagnosis. Following clinical improvement with anti-tuberculosis therapy, the patient was referred for elective pericardiectomy. Discussion: CP remains a diagnostic challenge due to nonspecific symptoms. In TB-endemic areas, tuberculosis is a leading cause. TTE’s Mayo Clinic criteria (septal shift, medial e′ ≥ 9 cm/s, hepatic vein reversal) achieved 97% specificity, obviating invasive tests. MRI further differentiated CP from restrictive cardiomyopathy. Conclusion: CP should be considered in patients with unexplained pleural effusion in TB-endemic regions. TTE is a critical first-line tool, and early intervention improves outcomes.

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Dates et versions

hal-05135201 , version 1 (30-06-2025)

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  • HAL Id : hal-05135201 , version 1

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O Soussi, L Bakamel, A Soufiani, N Bendagha, R Fellat. Tuberculous Constrictive Pericarditis Presenting with Isolated Pleural Effusion: Diagnostic Value of Transthoracic Echocardiography. Asian Journal of Cardiology Research, 2025, 8 (1), pp.393-399. ⟨hal-05135201⟩
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