Endocardial Tuberculosis

Abstract

We report a 30-year-old male patient with persistent fever, history of stroke, and a left atrial mass. He was diagnosed as miliary pulmonary tuberculosis radiologically and had fever despite 2 months of antitubercular treatment. The mass was excised and fever resolved. Acid fast bacilli (AFB) were demonstrable on Ziehl Neelsen stain and routine histopathology. To the best of our knowledge, the visualization of AFB from an intracardiac lesion on ZN staining has not been reported earlier and tuberculosis must be considered in the differential diagnosis of left atrial masses.

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

“…Indications for surgery may be uncertain diagnosis, refractory malignant arrhythmias, threatening thromboembolism, hemodynamically significant obstruction or inadequate response to medical treatment [15], [16]. In this case, a suspected myxoma indicated surgery.…”

Incremental value of live/real time three‐dimensional transesophageal echocardiography over the two‐dimensional technique in the assessment of a tuberculoma involving the left atrium and appendage

“…Tuberculomas involving the LA/LAA are extremely rare and only a few cases of their detection by 2D echocardiography have been described in the literature . None of them have described the incremental value of 3D echocardiography.…”

Intra‐Cavitary Masses: Rare Presentation of a Common Illness in SAARC Nation

“…Tubercular myocarditis presents with heart failure or arrhythmia. On the other hand, endocardial TB is extremely rare . The infection results from direct extension from the myocardium or from hematogenous spread.…”

“…On the other hand, endocardial TB is extremely rare. 5,6 The infection results from direct extension from the myocardium or from hematogenous spread. Endocardial TB may present as vegetations in relation to the valve leaflets, or as intracardiac mass attached to the cardiac chamber with stalks.…”

“…The latter is often asymptomatic. Intra‐cavitary tuberculoma affecting single or multiple chambers is probably the rarest presentation of cardiovascular TB . TB of the aorta has also been described, resulting in aneurysm and pseudoaneurysm formation; they have been managed successfully by medical treatment, conventional surgery, and endovascular repair.…”