Abstract:
Introduction: In children, up to 25% of cases of tuberculosis (TB) are of extrapulmonary TB (EPTB) . Tuberculous pericardial effusion (TB-PE), a rare manifestation of EPTB, is the most common cause of pericardial effusion in high-TB-burden settings The clinical spectrum of Covid-19 presentation ranges from asymptomatic to multiorgan dysfunction.As this disease has developed into a global pandemic and millions of people have become infected, its extrapulmonary manifestations have become better understood. Similar to other viral infections, it has been postulated that Covid-19 may trigger cascades of inflammatory pathways which can potentially result in multi-organ injury including heart, lung, and the serosal surfaces encompassing them. When COVID-10 elicits this inflammatory response, it is reasonable that this may lead to pericarditis and pericardial effusion .
Materials & Method: It’s a retrospective study where the patients coming for pediatric cardiac referral was seen.Most of them came with the complains of fever,tachycardia and cardiac enlargement on X Ray.We did the echocardiogram in all and that is how pericardial effusion was detected. As a developing country, we consider tuberculosis infection in every patient with pneumonia or pleural effusion We appreciated that tuberculosis as a possible cause of the pericardial effusion. Most The patients’had antibody positive for Covid 19 but no history indicating an asymptomatic affection.
Results: Early PE-TB diagnosis, interventions including medical and surgical management, and routine administration of steroids with anti tubercular drugs in proper dosage explain why there were no complications and good outcome of all the patients.
