Ko S.-C.Liaw Y.-S.PAN-CHYR YANG2020-12-022020-12-0219980929-6441https://www.scopus.com/inward/record.uri?eid=2-s2.0-0032435072&partnerID=40&md5=a098aa04aead309d0c2e831a8491bc8bhttps://scholars.lib.ntu.edu.tw/handle/123456789/524013Tuberculosis is an uncommon cause of acute pericarditis. Because of its potential for life-threatening cardiac tamponade, tuberculous pericarditis is significant clinically, especially in areas with a high prevalence of tuberculosis. Ultrasonography is a sensitive diagnostic instrument that can be used to detect intrapericardial abnormalities. We report a case of a 42- year-old man who presented with dyspnea caused by a massive pleuropericardial effusion. Tuberculous pleuropericardial effusion was diagnosed by pleural biopsy and subsequent culture of Mycobacterium tuberculosis from the pericardial fluid. Two-dimensional echocardiography showed pericardial thickening with frond-like structures protruding into the pericardial cavity. These frond-like structures disappeared from the ultrasonographic pictures one month after antituberculous therapy was initiated. It is concluded that frond-like structures and pericardial thickening seen on ultrasound may be characteristic in patients with tuberculous pericarditis and indicate early institution of antituberculous therapy.Tuberculous pericarditis; Ultrasonography[SDGs]SDG3adult; article; bacterium culture; case report; dyspnea; echography; human; male; Mycobacterium tuberculosis; pericardial effusion; pericarditis; pleura biopsy; pleura effusion; tuberculosisjournal article2-s2.0-0032435072