RT Journal Article
SR Electronic
T1 Tuberculous pericarditis associated with hoarseness of voice due to left recurrent laryngeal nerve paralysis
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr0620114409
DO 10.1136/bcr.06.2011.4409
VO 2011
A1 Ragai Fouda
A1 Hussam Ammar
A1 Ramy Edward
A1 Waleed M Alnabawy
A1 Iman M Fouda
YR 2011
UL http://casereports.bmj.com/content/2011/bcr.06.2011.4409.abstract
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.