Pericardial effusion with tamponade – an uncommon presentation leading to the diagnosis of eosinophilic granulomatosis polyangiitis: A case report

Figure 1 Electrocardiogram showed sinus tachycardia, low voltage QRS (arrows) with small ST-T wave changes.

Figure 2 Chest radiograph revealed cardiomegaly (line) and bilateral opacities (arrows).

Figure 3 Chest computed tomography angiogram revealed a large pericardial effusion (arrow); moderate right and small left pleural effusion (arrowhead).

Figure 4 Transthoracic echocardiogram showed large pericardial effusion (arrowhead).

Figure 5 Cardiac biopsy revealed pericardial thickening with eosinophil predominant infiltrate (arrow).

Figure 6 Lung biopsy revealed organizing inflammatory infiltrate, micro abscess (arrow), and eosinophil infiltrate.