Article thumbnail
Location of Repository

A massive pericardial effusion in South Africa is not always due to tuberculosis

By Sipho Ntshalintshali, Nontembiso Mhlana, Farzana Moosajee, Riyad Abousriwiel, Kiran George and Riette Du Toit

Abstract

CITATION: Ntshalintshali, S. et al. 2020. A massive pericardial effusion in South Africa is not always due to tuberculosis. SA Heart, 17(2):204-206, doi:10.24170/17-2-4153.The original publication is available at http://www.journals.ac.za/index.php/SAHJSouth Africa (SA) has a high incidence of tuberculosis. Medical conditions mimicking tuberculosis often result in erroneous treatment with antitubercular therapy (ATT) before a definitive diagnosis is made. We report on 2 cases presenting with massive pericardial effusions secondary to Still’s disease (sJIA) and Adult onset Still’s disease (AOSD). Both cases were treated with ATT, with an alternative diagnosis only considered upon poor response to therapy and the development of ATT associated side effects. Our objective is to remind clinicians of other potential differential diagnoses in the clinical scenario of massive effusive pericarditis in a tuberculosis endemic region.https://www.journals.ac.za/index.php/SAHJ/article/view/4153Publisher's versio

Topics: Tuberculosis -- Chemotherapy -- South Africa, Pericardium -- Diseases -- South Africa, Rheumatoid arthritis -- South Africa, Diagnostic errors
Publisher: 'Stellenbosch University'
Year: 2020
DOI identifier: 10.24170/17-2-4153
OAI identifier: oai:scholar.sun.ac.za:10019.1/108679
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://hdl.handle.net/10019.1/... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.