Challenging Feto- Maternal Rescue with Cross Speciality Collaboration in a case of Active Tuberculosis with Pericardial Effusion & Cardiac Tamponade followed by Dilated Cardiomyopathy

Dr. Nandini Chakrabarti Bhattacharyya, Dr. Ritwik Ghosh Haldar, Dr. Pratyusha Sinha

Abstract: Effusive cardiac tamponade in late pregnancy from tuberculosis (TB) is a rare, life-threatening emergency requiring immediate intervention like pericardiocentesis (fluid drainage) and antitubercular therapy (ATT) to ensure maternal and foetal survival. Symptoms can be non-specific in pregnancy, making diagnosis challenging. A multidisciplinary team approach is crucial for prompt recognition, management, and follow-up care. The case discussion presented here is unique Maternal Near Miss case as both mother & baby were salvaged due to high index of clinical suspicion & multidisciplinary aggressive co-ordinated approach at 35 weeks of gestation with Dilated Cardiomyopathy, Pericardial Effusion & Active Tuberculosis. A G4A0L, from a humble social background with previous 3 vaginal deliveries, presented at ER of our Multi-speciality Hospital with severe shortness of breath with records of irregular antenatal proceedings in multiple Public & Private Health Facilities. Meticulous medical history revealed past history of Pulmonary Koch's & history of Pericardiocentesis & ATD for Tubercular Pericardial effusion in current pregnancy. Prompt collaboration with Cardiologist revealed DCM with LVEF of 30% on Echocardiography. Consensus of prompt delivery was made on war footing with intensive co-ordination with Administrative Authority & Medical Team comprising of Obstetrician, Anaesthesiologist, Cardiologist, Pulmonologist, Critical Care Specialists, Neonatologist & Emergency Laboratory Service with rigorous counselling & High-Risk Consent.

Keywords: Tubercular Pericardial Effusion, Maternal Near Miss, Multi-disciplinary Care, High Risk Obstetrics, Cardiac Tamponade in Pregnancy

How to Cite?: Dr. Nandini Chakrabarti Bhattacharyya, Dr. Ritwik Ghosh Haldar, Dr. Pratyusha Sinha, "Challenging Feto- Maternal Rescue with Cross Speciality Collaboration in a case of Active Tuberculosis with Pericardial Effusion & Cardiac Tamponade followed by Dilated Cardiomyopathy", Volume 14 Issue 10, October 2025, International Journal of Science and Research (IJSR), Pages: 830-833, https://www.ijsr.net/getabstract.php?paperid=SR251015141543, DOI: https://dx.doi.org/10.21275/SR251015141543