PT  - JOURNAL ARTICLE
AU  - Fouda, Ragai
AU  - Ammar, Hussam
AU  - Edward, Ramy
AU  - Alnabawy, Waleed M
AU  - Fouda, Iman M
TI  - Tuberculous pericarditis associated with hoarseness of voice due to left recurrent laryngeal nerve paralysis
AID  - 10.1136/bcr.06.2011.4409
DP  - 2011 Oct 14
TA  - BMJ Case Reports
PG  - bcr0620114409
VI  - 2011
4099  - http://casereports.bmj.com/content/2011/bcr.06.2011.4409.short
4100  - http://casereports.bmj.com/content/2011/bcr.06.2011.4409.full
AB  - A 16-years-old Egyptian girl presented with massive pericardial effusion, fever, weight loss and hoarseness of voice. Laryngoscopy showed left vocal cord paralysis. Chest CT revealed pericardial effusion, amalgamated mediastinal lymph nodes and clear lung fields. Pericardial fluid analysis revealed a lymphocytic exudate with high adenosine deaminase enzyme level, negative stains and cultures for bacteria and fungi. Despite a negative nucleic acid test for tuberculosis; antituberculous and corticosteroids therapies resulted in resolution of pericardial effusion after 3 weeks but hoarseness of voice persisted. Few cases of vocal cord paralysis with tuberculous mediastinal lymphadenopathy were reported in English literature.