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Volume 351:1804-1805 October 21, 2004 Number 17
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Case 22-2004: A 30-Year-Old Woman with a Pericardial Effusion

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by Nardell, E. A.
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To the Editor: In the Case Records article about the care of a young woman with pleural and pericardial effusions, pulmonary nodules, and mediastinal lymphadenopathy, described by Nardell et al. (July 15 issue),1 the eventual diagnosis was found to be tuberculosis, and the clinicians correctly prescribed antituberculous treatment. We would like to comment on two issues that are not discussed in the article but that should be considered in the management of tuberculosis involving the pericardium.

Treatment with adjuvant corticosteroids has been associated with clinical benefit in constrictive2 and effusive3 tuberculous pericarditis, with specific improvements in functional status, mortality, and . . . [Full Text of this Article]



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