A Case Report | Open Access
Volume 2025 - 4 | Article ID 257 | http://dx.doi.org/10.51521/WJCRCI.2025.e41.400
Academic Editor: John Bose
Alan Patricio Murillo Salasa, Fabián Leonardo Cuba Pachecoc, Victor Cutipa Calcinab, Natalie Andrea Muñoz Riverac, Alexander Claret Valencia Zanabriac, Alexia Valeria Castro Gomezc
aInternist and professor at the Universidad Católica de Santa
María, Arequipa, Perú
bCardiologist, Hospital
Regional Honorio Delgado
Espinoza, Arequipa, Peru
cStudent of Clinical Sciences, Faculty of Human
Medicine, Universidad Católica
de Santa María, Arequipa,
Perú
Corresponding Author: Fabián Leonardo Cuba Pacheco, Student of Clinical Sciences, Faculty of Human Medicine, Universidad Católica de Santa María, Arequipa, Perú.
Citation: Alan Patricio Murillo Salas, Fabián Leonardo Cuba Pacheco, Victor Cutipa Calcina, Natalie Andrea Muñoz Rivera, Alexander Claret Valencia Zanabria, Alexia Valeria Castro Gomez (2025) Polyserositis and Cholestasis in a Young Immunocompetent Foreign Woman: An Unexpected Final Diagnosis. World J Case Rep Clin Imag. 2025 May; 4(1)1-6.
Copyrights © 2025, Fabián Leonardo Cuba Pacheco, et al., This article is licensed under the Creative Commons Attribution-Non Commercial-4.0-International-License-(CCBY-NC) (https://worldjournalofcasereports.org/blogpage/copyright-policy). Usage and distribution for commercial purposes require written permission.
Abstract:
Extrapulmonary tuberculosis (EPTB) represents a diagnostic challenge due to its nonspecific nature and clinical
features. Objective: To describe an unexpected case of
EPTB in a young patient with polyserositis and cholestasis. Case presentation: A 25- year-old
female patient presented with chest pain, dyspnea, weight loss and asthenia.
Physical examination revealed
pericardial rub and hepatomegaly. Hepatic
profile showed cholestasis.
Electrocardiogram was consistent with pericarditis. Chest X-ray and
echocardiogram showed cardiomegaly, pleural
and pericardial effusion, so thoracentesis and pericardiocentesis were performed, confirming polyserositis. Abdominal tomography showed hepatic infiltrations, and a liver biopsy was performed confirming the diagnosis.
Finally, antituberculosis treatment was indicated in addition to colchicine and prednisone,
with favorable response and no adverse effects.
Conclusion: To recognize polyserositis and cholestasis as atypical
presentations of EPTB to optimize multidisciplinary care.
Key words: Polyserositis, Cholestasis, Extrapulmonary Tuberculosis (EPTB).
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