{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T18:51:31Z","timestamp":1793818291857,"version":"4.6.1"},"reference-count":13,"publisher":"Microbiology Society","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,1]]},"abstract":"<jats:p>\n                    Tuberculosis remains a major public health issue in Morocco. Pulmonary tuberculosis is the most common form, but various extrapulmonary forms exist. Tuberculous pericarditis is a rare form of extrapulmonary tuberculosis that can be complicated by cardiac tamponade, pericardial constriction or their combination, which can threaten the patient\u2019s life. Its clinical and radiological signs are nonspecific, and the clinical presentation can be misleading and incomplete, sometimes even with an initial tamponade. We report the case of a 68-year-old female patient admitted for intense retrosternal chest pain associated with acute dyspnoea, evolving in the context of unquantified weight loss and general deterioration. Additionally, she reported a history of fever and night sweats. Clinical examination revealed a conscious, febrile, hypotensive, tachycardic, polypneic patient with good oxygen saturation, signs of right heart failure and muffled heart sounds on auscultation. Chest X-ray revealed cardiomegaly, and the ECG showed diffuse low voltage. Given the presence of Beck\u2019s triad suggestive of cardiac tamponade, a transthoracic echocardiogram was performed, revealing a large pericardial effusion with a \u2018swinging heart\u2019. A chest CT scan also confirmed the large pericardial effusion. The diagnosis of cardiac tamponade was made based on the clinical and radiological findings, and pericardial drainage was performed, after which the patient showed clinical improvement. PCR GenXpert MTB\/RIF Ultra detected the presence of\n                    <jats:italic>Mycobacterium tuberculosis<\/jats:italic>\n                    in the pericardial fluid, with no resistance to rifampicin. Culture was positive for\n                    <jats:italic>M. tuberculosis<\/jats:italic>\n                    . The diagnosis of tuberculous pericarditis was, thus, confirmed, and the patient was started on quadruple antituberculosis therapy with good clinical progress.\n                  <\/jats:p>","DOI":"10.1099\/acmi.0.000983.v4","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T13:15:37Z","timestamp":1746191737000},"source":"Crossref","is-referenced-by-count":2,"title":["Cardiac tamponade revealing tuberculous pericarditis: a case report"],"prefix":"10.1099","volume":"7","author":[{"given":"Oumaima","family":"Skalante","sequence":"first","affiliation":[{"name":"Department of Bacteriology, Mohammed V Military Teaching Hospital, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariam","family":"Hachimi Idrissi","sequence":"additional","affiliation":[{"name":"Department of Bacteriology, Mohammed V Military Teaching Hospital, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soukaina","family":"Cherkaoui","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Mohammed V Military Teaching Hospital, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmostafa","family":"Benaissa","sequence":"additional","affiliation":[{"name":"Department of Bacteriology, Mohammed V Military Teaching Hospital, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yassine","family":"Ben Lahlou","sequence":"additional","affiliation":[{"name":"Department of Bacteriology, Mohammed V Military Teaching Hospital, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariama","family":"Chadli","sequence":"additional","affiliation":[{"name":"Department of Bacteriology, Mohammed V Military Teaching Hospital, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"345","reference":[{"key":"R1","article-title":"Revue du programme national de lutte antituberculeuse et d\u00e9veloppement du plan strategique national 2024-2030 pour la pr\u00e9vention et le contr\u00f6le de la tuberculose","year":"2024"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ancard.2010.04.002"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.11.021"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv318"},{"key":"R5","article-title":"Recommandations de la Soci\u00e9t\u00e9 europ\u00e9enne de cardiologie sur les maladies p\u00e9ricardiques","author":"Delahaye","year":"2016"},{"key":"R6","article-title":"Chapitre 20 - Item 235: P\u00e9ricardite aigu\u00eb | Soci\u00e9t\u00e9 Fran\u00e7aise de Cardiologie","year":"2024"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2012.12.16.1672"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.14740\/jmc4119"},{"key":"R9","article-title":"Xpert MTB\/RIF ultra","year":"2023"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/j.idcr.2024.e02122"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jctube.2019.100094"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jctube.2019.100094"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00659-18"}],"container-title":["Access Microbiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/acmi\/10.1099\/acmi.0.000983.v4?crawler=true&mimetype=application\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T13:15:38Z","timestamp":1746191738000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/acmi\/10.1099\/acmi.0.000983.v4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,1]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5,1]]}},"URL":"https:\/\/doi.org\/10.1099\/acmi.0.000983.v4","relation":{"has-preprint":[{"id-type":"doi","id":"10.1099\/acmi.0.000983.v2","asserted-by":"subject"},{"id-type":"doi","id":"10.1099\/acmi.0.000983.v1","asserted-by":"subject"},{"id-type":"doi","id":"10.1099\/acmi.0.000983.v3","asserted-by":"subject"},{"id-type":"doi","id":"10.1099\/acmi.0.000983.v1","asserted-by":"object"},{"id-type":"doi","id":"10.1099\/acmi.0.000983.v3","asserted-by":"object"},{"id-type":"doi","id":"10.1099\/acmi.0.000983.v2","asserted-by":"object"}]},"ISSN":["2516-8290"],"issn-type":[{"value":"2516-8290","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,1]]}}}