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Cardiology
Tubercular pericarditis with effusion and mycotic pseudoaneurysm of arch of aorta
  1. Kiran Bala1,
  2. Aditi Das1,
  3. Devagourou Velayoudam2 and
  4. Urvashi Singh1
  1. 1Microbiology, All India Institute of Medical Sciences, New Delhi, New Delhi, India
  2. 2Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, New Delhi, India
  1. Correspondence to Professor Urvashi Singh; drurvashi{at}gmail.com

Abstract

Tuberculosis (TB) is an uncommon cause of mycotic aneurysm. Studies have described tuberculous aneurysm of the entire aorta. Tuberculous pericarditis can cause life-threatening complications such as pseudoaneurysm in the aorta. Aneurysm of the aorta has been associated with disseminated TB, vertebral or mediastinal TB, and in patients who had a history of TB. The thoracic aorta is the most common site for tuberculous aneurysms due to its proximity to the lungs and mediastinum. Accurate diagnosis and quick intervention can be life-saving in these cases. We discuss here a rare case of pseudoaneurysm of the arch of aorta associated with pericardial TB and pericardial and pleural effusion.

  • Adenosine Deaminase
  • Pericardial disease
  • TB and other respiratory infections

https://doi.org/10.1136/bcr-2024-261637

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    Footnotes

    • KB and AD contributed equally.

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: KB, AD and US. The following authors gave final approval of the manuscript: KB, DV and US are responsible for the overall content as guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.