Uncommon Presentation of a Common Disease

Abstract

Purulent pericarditis has become uncommon in the developed world due to widespread antibiotic use. It usually presents with acute cardiovascular decompensation and features of sepsis. Tuberculosis as a cause of pyopericardium is rare even in high prevalence areas. We report here an unusual cause of pyopericardium which presented as prolonged fever and finally turned out to be due to mycobacterium tuberculosis and 6 month course of anti tuberculous therapy resulted in complete recovery without any sequelae