Acute tuberculous myopericarditis mimicking acute myocardial infarction: A case report and literature review

Ren, Manyi; Zhang, Chunsheng; Zhang, Xiaojuan; Zhong, Jian

doi:10.3892/etm.2016.3187

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…iii) Fungal causes include histoplasma species [ 12 ], aspergillus species, blastomyces species, and candida species. iv) Parasitic causes like Toxoplasma species [ 13 ] and Echinococcus species [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Myopericarditis Mimicking an Acute MI

Arshad,

Egbe Bessong Tabot,

Latif

et al. 2023

Cureus

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Chest pain with focal ST elevation in the presence of elevated cardiac markers is usually believed to be secondary to an acute myocardial infarction. Moreover, widespread ST elevation is believed to be a hallmark sign of acute pericarditis. However, we present the case of a young male who presented with chest pain, elevated troponins, and focal ST elevations; however, left heart catheterization showed patent coronary arteries. The patient was treated for acute myo-pericarditis with ibuprofen and colchicine. This case illustrates the fact that focal ST elevation in a patient with chest pain and elevated markers of cardiac injury is not always secondary to an acute myocardial infarction.

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Section: Discussionmentioning

confidence: 99%

Myopericarditis Mimicking an Acute MI

Arshad,

Egbe Bessong Tabot,

Latif

et al. 2023

Cureus

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“…Myocarditis can be diagnosed clinically in the presence of elevated cardiac markers of injury (cardiac troponin I or troponin T, and creatine kinase-MB), with regional or globally depressed left ventricular function seen on echocardiography or cardiac magnetic resonance scan in the absence of coronary artery disease. Unlike in patients with pericarditis, ECG findings of myocarditis are usually non-specific [ 6 ]. In our case, the presence of elevated markers of myocardial injury, left ventricular regional wall hypokinesis with depressed systolic function, and absence of coronary artery disease strongly suggest myocarditis.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis Presenting With Acute Myocarditis and Systolic Heart Failure

Choudhary¹,

Abera²,

Naik³

2021

Cureus

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Tuberculosis presenting with myocarditis and severe systolic dysfunction is rarely reported. So far, only a few cases were reported from India. Our aim is to report this rare presentation of a common disease that we encountered at Narayana Multispecialty Hospital, Jaipur. A 34-year-old lady having disseminated tuberculosis involving lung, lymph node, and myocardium with severe left ventricular systolic dysfunction received medical treatment in our hospital. She had elevated cardiac biomarkers, severe left ventricular regional wall hypokinesis with an ejection fraction of 25-30%, bilateral upper and middle lobe ground-glass opacities, as well as mediastinal and hilar lymphadenopathies on chest computed tomography scan and normal coronary angiogram. The patient was started with anti-tuberculosis therapy, a beta-blocker, an angiotensin-converting enzyme inhibitor, and a corticosteroid and discharged after one week in a stable condition. The third month of follow up showed recovery and improvement in cardiac function.

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“…In most TB cases, the causative agent is Mycobacterium tuberculosis (M. tuberculosis or M. TB), a non-spore-forming, rod-shaped, small-size, strictly aerobic acid-fast bacillus, with humans being the only known reservoir for the bacteria. [1,2] Tubercular involvement of the cardiovascular system is rare (only 0.1%-2%), with tubercular pericarditis reported in most cases. [3] TB affecting the myocardium is extremely rare, with several studies showing a prevalence between 0.14% and 0.2%.…”

Section: Introductionmentioning

confidence: 99%

Myocardial tuberculosis: A rare case report

Rawal

Yadav²,

Rajamma

2023

DCC

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Tuberculosis (TB) is one of the most common causes of mortality and morbidity globally, with Indian subcontinent having quite a large number of TB cases. TB can involve any organ system in humans; however, the disease affecting the cardiovascular system is rare. On the other hand, myocardial tuberculosis is a serious entity and can, unfortunately, be fatal if the diagnosis is missed or delayed. Therefore, the possibility of TB involving the myocardium should always be considered in areas with a high prevalence of TB, like the Indian subcontinent. Anti-TB therapy (with corticosteroids in some cases), along with early detection and suspicion, is proven to be quite effective in management and cure in most cases. We describe a case of sputum AFB (acid-fast bacilli) positive pulmonary TB with dilated cardiomyopathy, and impaired/decreased left ventricular systolic function, which gradually improved after anti-tubercular decongestive therapy.

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Acute tuberculous myopericarditis mimicking acute myocardial infarction: A case report and literature review

Cited by 5 publications

References 23 publications

Myopericarditis Mimicking an Acute MI

Myopericarditis Mimicking an Acute MI

Tuberculosis Presenting With Acute Myocarditis and Systolic Heart Failure

Myocardial tuberculosis: A rare case report

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