Tuberculous Pericarditis in an Immunocompromised Patient: A Case Report.

This case report details the presentation, diagnostic process, and management of tuberculous pericarditis (TBP) in a 43-year-old male with a history of chronic severe pericarditis, right-sided heart failure, and rheumatoid arthritis. The patient exhibited symptoms of chest pain and dyspnea and showed signs of ascites and mild lower limb edema. Our patient was found to have significant pericardial thickening and effusion, as well as necrotic lymph nodes. Diagnostic tests, including a positive QuantiFERON-TB test (QIAGEN, Hilden, Germany) and imaging studies, supported the diagnosis of TBP. Management involved a combination of anti-tuberculosis therapy and eventually, a radical pericardiectomy. This report underscores the importance of timely diagnosis and treatment in improving outcomes for patients with TBP.