Twenty patients with tuberculous pericarditis who were referred to the
Blacksea Technical University Medical School Cardiology Department fr
om January 1979 to January 1992 were followed for 12-18 months by repe
ated echocardiography, before and after antituberculous therapy. Initi
al echocardiograms revealed moderate pericardial effusion in 7 patient
s (35%), and large effusion in 13 (65%). Thickened pericardium was not
ed in 2. After medical treatment, at the follow-up period, echocardiog
raphy revealed small effusion in only 2, the remaining had no effusion
. Despite adequate antituberculous therapy, 6 patients developed peric
ardial thickening, 3 required pericardiectomy for constriction.