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Pericarditis caused by tuberculosis and it is difficult to diagnose, because diagnosis requires culturing Mycobacterium tuberculosis from aspirated pericardial fluid or pericardial biopsy. The Tygerberg scoring system helps the clinician to decide whether pericarditis is due to tuberculosis or whether it is due to another cause: night sweats, weight loss, fever, serum globulin > 40g/l, blood total leucocyte count <10 x 109/l; Pericardial fluid with an interferon-γ level greater than 50pg/ml is highly specific for tuberculous pericarditis.