alexa Tuberculous Pericaditis: An Uncommon STEMI Complication
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
Open Access

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World Heart Congress
May 22- 24, 2017 Osaka, Japan

Hamza Sanoussi
Cardiology Department B, Morocco
Posters & Accepted Abstracts: J Clin Exp Cardiolog
DOI: 10.4172/2155-9880-C1-069
Abstract
Introduction: Effusions in myocardial infarction are associated with a higher morbidity and mortality rate. Tuberculosis is a global health priority. In Morocco, we found a total of almost 25,000 new tuberculosis cases all forms every year, with extrapulmonary forms rate of 47.8%. We present an exceptional case of a tuberculous pericarditis effusion in the acute post myocardial infarction. Case report: A 77 year old male presented with acute extended anterior myocardial infarction. Emergency coronary angiography showed mid vessel occlusion of the Left anterior descending artery (LAD), a stent was deployed with a successful result. The transthoracic echocardiography and chest x ray control showed both circumferential pericardial effusion and pleural effusion not explained by the ischemic cardiopathy. An etiologic workup included laboratory tests wich revealed a positive QuantiFERON-TB Gold In-Tube (QFT) assay (6,92UI/mL), negative HIV, HBV, HCV and syphilis serology, a lymphocytic pleural exudate with elevated adenosine deaminase levels. He was managed as tuberculous pericarditis with anti tuberculosis effective quadruple therapy. The evolution is then quickly favorable. Conclusions— African countries are considered to have a high tuberculous incidence rate, It is important to think about tubeculosis origin whenever we have an unexplained pericardial effusion.
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