Since 1921, Bacillus Calmette-Guérin (BCG) vaccine has been given to infants to reduce the risk of tuberculosis (TB) disease, and disseminated TB. Objectives of the study: The main objective of the study is to analyse the tuberculous pericardial abscess with impending pericardial effusion and cardiac tamponade. Material and methods: This descriptive study was conducted in Shalimar Hospital, Lahore during June 2019 to January 2020. The data was collected from 10 patients. General physical and

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... temic examination was unremarkable and patients was vitally stable. Four days later they returned with e persisting fever, cough, dyspnoea and haemoptysis. Results: The patients was tachypnoeic, toxic looking and in sepsis. Their vital signs showed the following: respiratory rate of 24 breaths/min, tachycardia of 110 beats/min, blood pressure of 127/68 mmHg and temperature of 38°C. Clinical examination supported the diagnosis of cardiac tamponade. Jugular venous pulse was raised and on auscultation, the heart sounds were muffled and associated with a pericardial rub. Conclusion: It is concluded that tuberculosis remains a serious health problem. Thus complications like pericarditis, tamponade and abscess are imminent and despite adequate drug therapy, one third to one half of the patients eventually require Pericardiectomy.