case_images: PMC9463754_01
case_images: PMC9463754_02
case_images: timeline of the patient's illness
case_images: PAMJ-42-145-g001.jpg
case_images: PMC9463754_02_PAMJ-42-145-g001.jpg
case_images: F1
case_images: chest X-ray on admission showing massive bilateral pleural effusion
case_images: PAMJ-42-145-g002.jpg
case_images: PMC9463754_02_PAMJ-42-145-g002.jpg
case_images: F2
case_images: Electrocardiogram (ECG) showed: sinus tachycardia with right axis deviation, chest X-ray (CXR) showed massive bilateral pleural effusion (Figure 2).
case_images: a bottle filled with pus collected after pericardiocentesis
case_images: PAMJ-42-145-g003.jpg
case_images: PMC9463754_02_PAMJ-42-145-g003.jpg
case_images: F3
case_images: Pericardiocentesis was done, 950 mls pus drained (Figure 3), drainage was left in situ with improvement.
case_images: (A, B) CT scan of the chest showing bilateral partial atelectasis, more on the right lung and pericardial thickening of about 6.9 mm
case_images: PAMJ-42-145-g004.jpg
case_images: PMC9463754_02_PAMJ-42-145-g004.jpg
case_images: F4
case_images: CT Scan of the chest showed bilateral pleural effusion with partial atelectasis of both lungs right: 4.7L, left: 1.5L with thick pericardium about 6.9 mm (Figure 4), the pericardial tube was in situ, but no evidence of pericardial effusion.
case_images: H & E stain slide of the pericardium
case_images: PAMJ-42-145-g005.jpg
case_images: PMC9463754_02_PAMJ-42-145-g005.jpg
case_images: F5
case_images: Histopathology analysis of Pericardial tissue showed: H & E stain showed mixed chronic inflammation and granulation tissue (Figure 5).
case_images: ZN stain histopathology slide of the pericardium
case_images: PAMJ-42-145-g006.jpg
case_images: PMC9463754_02_PAMJ-42-145-g006.jpg
case_images: F6
case_images: Impression: non-specific chronic inflammation of the pericardium ZN Stain showed a thick fibrous wall of the pericardium with fibroblast proliferation and mononuclear cells infiltration but no rod-shaped Bacilli for Mycobacterium tuberculosis indicating ZN stain is negative (Figure 6).