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Tuberculous pericardial effusion is common in India. Since, the introduction of HIV infection, the incidence of tuberculous pericardial effusion has increased not only in India but also the world over. It presents with the usual features of tuberculous infection (low grade fever, loss of appetite, loss of weight) along with features of pericardial effusion (dyspnea, cough and enlarged heart). The salient features of pericardial effusion are low volume pulse or even pulsus paradoxus, raisedfatcat:wzmow4uervfv5g3suneeuanl6e