Summary
Although it is known that extrapulmonary tuberculosis in patients with AIDS has a broad spectrum of clinical manifestations, pericardial involvement has rarely been described. We report a case of this condition as the first manifestation of AIDS with good response to antituberculous therapy. Although unusual, the diagnosis of tuberculous pericarditis in symptomatic HIV-infected patients should be aggressively pursued because of the beneficial clinical response to treatment.
Zusammenfassung
Bei AIDS-Patienten sind zahlreiche Manifestationsformen der extrapulmonalen Tuberkulose bekannt; eine Perikardbeteiligung wurde jedoch nur selten beschrieben. Wir berichten über einen Fall von tuberkulöser Perikarditis bei einem AIDS-Patienten mit gutem Ansprechen auf die antituberkulöse Therapie. Trotz der Seltenheit einer tuberkulösen Perikarditis bei Patienten mit symptomatischer HIV-Infektion sollte wegen der günstigen Behandlungsmöglichkeiten bei Verdacht eine aggressive Diagnostik durchgeführt werden.
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Pedro-Botet, J., Auguet, T., Coll, J. et al. Tuberculous pericarditis as the first manifestation of AIDS. Infection 21, 334–335 (1993). https://doi.org/10.1007/BF01712459
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DOI: https://doi.org/10.1007/BF01712459