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Tuberculous endocarditis: valvular and right atrial involvement.

Fateh Ali Tipoo Sultan¹, Saulat Fatimi, Bushra Jamil

¹Section of Cardiology, Aga Khan University Hospital, Karachi, Pakistan.

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology

|December 17, 2009

Summary

This summary is machine-generated.

Tuberculous valvular endocarditis, a rare condition, was incidentally found in an immunocompetent patient. Mycobacterium tuberculosis was identified in valve vegetation and atrial masses after mitral valve replacement.

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Area of Science:

Cardiology
Infectious Diseases
Cardiovascular Surgery

Background:

Valvular endocarditis caused by Mycobacterium tuberculosis is exceptionally rare.
It typically affects immunocompromised individuals with disseminated tuberculosis.

Observation:

A 30-year-old immunocompetent male presented with an incidental finding of tuberculous valvular endocarditis.
A large mass on the anterior mitral leaflet led to severe mitral regurgitation.

Findings:

Mitral valve replacement was performed.
Mycobacterium tuberculosis was successfully cultured from excised valve vegetation and right atrial masses.

Implications:

This case highlights the possibility of tuberculous valvular endocarditis in immunocompetent individuals.
Early diagnosis and surgical intervention are crucial for favorable outcomes in rare cases of tuberculosis affecting heart valves.