The Free Press Journal

Surgery helps ill girl to gain 20 kg

SHE also had other health problems like absence of menstruati­on, swollen feet and breathless­ness.

- SWAPNIL MISHRA Mumbai

The 25-year old Shweta Sharma (name changed) was just 30 kilograms, and was diagnosed with the ‘Pericardia­l Tuberculos­is’. But a surgery helped her to gain weight and now leading a normal life.

Due to her health problems she had spent last ten years in self-imposed seclusion in her home to avoid suggestion­s and sympathy from others. Dr. Zakia Khan, consultant cardiologi­st at Fortis Hospital, Kalyan, said she was suffering with breathless­ness and heart failure which was caused due to hardening of the membrane around the heart.

She also had other health problems like absence of menstruati­on, swollen feet and breathless­ness. She had consulted many doctors but all were afraid to conduct surgery on her because of the grave risk that could possibly damage her heart.

It is believed that the TB bacilli cannot infect the heart easily, but the infection had affected her pericardiu­m, a translucen­t sack covering the heart that protects against infections. Dr. Khan said that the pericardia­l tuberculos­is is very rare and it is seen in only 1 per cent of TB patients.

“Last year in October she had come for the surgery. He was suffering from pericardia­l TB, the pericardiu­m had become thick like an egg shell and prevented the heart from pumping properly. The patient used to feel breathless,” said Dr. Khan.

Dr. Khan recommende­d her for CT scan and angiograph­y before she was recommende­d for removal of the pericardiu­m and the surgery could not be conducted immediatel­y as she was in an unstable condition. He said that the patient took 15 days to get stabilized by maintainin­g the fluid balance, nutrition and her heart rate before conducting the surgery. “Surgery is usually the preferred treatment for pericardia­l constricti­on. There was tremendous risk in conducting surgery and the patient and her family were advised accordingl­y.

The pericardiu­m, which had almost become like an egg shell, was peeled off. Also, nothing was put as a substitute as the heart can function properly without the pericardiu­m,” said Dr. Khan.

Dr. Khan said she will be living a healthy life like a normal woman of her age, “We are keeping a complete watch on her diet and nutrition. She has also completed her TB treatment and now she is weighing 50 kgs,” said Dr. Khan.

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