Diagnostic challenges in a patient with myocardial tuberculoma: A case report

Säll, Olof; Cha, Soon-Ok; Holmberg, Hans

doi:10.1016/j.ijscr.2016.11.004

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…The treatment of choice seems to be anti-TB medication with duration of approximately 9 months. Previous cases have reported definitive cure in terms of complete recovery of patient's signs and symptoms along with imaging evidence of cardiac involvement resolution without surgery but in our patient this was not the case even with the help of surgical therapy (5). Indications for surgical management include uncertain diagnosis, threatening thromboembolism, refractory malignant arrhythmias, hemodynamically significant obstruction and inadequate response to medical therapy (5).…”

mentioning

confidence: 59%

“…Involvement of other parts of the heart is unusual and only very few cases have reported involvement of myocardium and endocardium (4). On the basis of histopathological appearance myocardial TB occurs as three different forms including miliary form, nodular form and tuberculoma (5). Tuberculoma, a tumor-like manifestation of the disease, was first reported by Morgagni in 1761 (5).…”

Section: Discussionmentioning

confidence: 99%

“…On the basis of histopathological appearance myocardial TB occurs as three different forms including miliary form, nodular form and tuberculoma (5). Tuberculoma, a tumor-like manifestation of the disease, was first reported by Morgagni in 1761 (5). Single or multiple cardiac tuberculomas are extremely rare and most commonly are observed in the right heart chambers, especially in right atrium wall (6).…”

Section: Discussionmentioning

confidence: 99%

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A rare manifestation of extrapulmonary tuberculosis: left ventricular cardiac tuberculoma in an HIV infected male “case report”

Hajsadeghi

Iranpour

Kalantari

et al. 2020

Cardiovasc Diagn Ther

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Cardiac tuberculosis (TB) is rare and most commonly manifests itself as tuberculous pericarditis.Involvement of other parts of the heart is unusual and descriptions in the literature are confined to case reports regarding mainly pericardial TB and very few cases of cardiac tuberculoma. Tuberculomas are space occupying lesions most commonly found in the brain of immunocompromised individuals. These space occupying lesions previously described only after autopsies are now more diagnosed with the use of advanced imaging techniques.Herein, we describe a first case of pericardial TB manifesting as left ventricular (LV) cardiac tuberculoma in a 34-year-old human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infected male. Upon presentation the patient complained mainly of progressive dyspnoea over the past month. Primary investigations including chest computed tomography (CT) scan and transthoracic echocardiography (TTE) suggested probable diagnosis of cardiac and pericardial TB which was later confirmed by histopathological modalities. The patient received anti-TB therapy along with surgical subtotal pericardiotomy which resulted in improvement of symptoms, complete resolution of the mass and reduction in the size of pericardial thickening. Although very rare it is crucial to bear in mind the importance of having cardiac tuberculoma as differential diagnosis in patients with a cardiac mass and implement the optimum diagnostic and therapeutic courses.

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confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A rare manifestation of extrapulmonary tuberculosis: left ventricular cardiac tuberculoma in an HIV infected male “case report”

Hajsadeghi

Iranpour

Kalantari

et al. 2020

Cardiovasc Diagn Ther

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“…Cardiac TB can be silent or present with typical TB symptoms (fever, weight loss, etc.) if other organs are involved [ 5 ]. Nodular involvement is associated with infiltration of all myocardial layers, along with all types of symptoms and signs, ranging from arrhythmias to conduction blocks [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…if other organs are involved [ 5 ]. Nodular involvement is associated with infiltration of all myocardial layers, along with all types of symptoms and signs, ranging from arrhythmias to conduction blocks [ 5 ]. Hemodynamic instability, secondary to a single or multiple chamber obstruction, can also occur [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

A vanishing cardiac mass

Alqurashi¹,

Alsaileek²,

Alenazi³

et al. 2022

Journal of the Saudi Heart Association

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The prevalence of extrapulmonary tuberculosis (TB) is very common in the Middle East; however, myocardial involvement is among the most infrequent manifestations of extrapulmonary TB. We present a young adult who was incidentally found to have a large right atrial tuberculoma, diagnosed by non-invasive cardiac imaging and effectively treated with standard first-line anti-TB treatment, steroids, and anticoagulation. This case is a classical presentation of nodular myocardial involvement of TB, highlighting advantages of advanced imaging, e.g., cardiac magnetic resonance (CMR) and multidisciplinary treatment.

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An unusual case of mycobacterium tuberculous coronary arteritis and thrombosis resulting in acute myocardial infarction

Chan

2018

Forensic Sci Med Pathol

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Tuberculosis (TB) is a prevalent infection worldwide and an endemic infection in Singapore. The most common presentation is that of pulmonary tuberculosis. Extra pulmonary tuberculosis usually involves the lymph nodes, pleura, central nervous system, or abdominal cavity. Involvement of the heart is rare (0.14-2% of TB cases), and when it is involved, it tends to be in the pericardium or myocardium. Here, a rare case of sudden death due to tuberculous coronary arteritis with tuberculous coronary thrombosis resulting in acute myocardial infarction is presented.

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Diagnostic challenges in a patient with myocardial tuberculoma: A case report

Abstract: HighlightsWe present a case of myocardial tuberculoma located in the right atrium.Myocardial tuberculoma should be considered as possible cause of an intracardiac mass.Treatment can be successful with anti-tuberculosis drugs [alone].Surgery might be necessary.

Cited by 8 publications

References 14 publications

A rare manifestation of extrapulmonary tuberculosis: left ventricular cardiac tuberculoma in an HIV infected male “case report”

A rare manifestation of extrapulmonary tuberculosis: left ventricular cardiac tuberculoma in an HIV infected male “case report”

A vanishing cardiac mass

An unusual case of mycobacterium tuberculous coronary arteritis and thrombosis resulting in acute myocardial infarction

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