Necrotic pericardial masses in tuberculous constrictive pericarditis: A rare presentation in a retroviral disease patient

Tuberculous pericarditis (TP) continues to pose a significant challenge in countries where tuberculosis (TB) is endemic. Human immunodeficiency virus (HIV)-associated TP tends to be a more severe condition, often causing a higher degree of heart muscle damage. The presence of HIV significantly alters the progression and outcomes of TP Immunocompromised individuals are more prone to developing constrictive pericarditis and have a notably higher mortality rate compared to those with normal immune function. Additionally, the dual infection with HIV and TB has introduced several unresolved issues in understanding its full clinical impact. We present a case report of a 30-year-old male patient, a known and follow-up case of multidrug-resistant (MDR) TP on anti-tuberculous therapy (ATT) and retroviral disease (RVD) on anti-retroviral treatment (ART) with complaints of dyspnea on exertion grade I-II.