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

Olof Säll1, Soon-Ok Cha1, Hans Holmberg1

  • 1Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

International Journal of Surgery Case Reports
|November 22, 2016
PubMed

Insights

Tuberculosis can impact the heart, causing myocardial tuberculoma. Diagnosis can be difficult, but treatment with anti-tuberculosis drugs and sometimes surgery leads to full recovery.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pathology

Background:

  • Tuberculosis (TB) is a systemic infection that can affect any organ, including the heart.
  • Myocardial tuberculoma, a rare manifestation of TB, presents diagnostic challenges due to its intracardiac location.

Purpose of the Study:

  • To report a case of multifocal tuberculosis involving a myocardial tuberculoma.
  • To discuss diagnostic and therapeutic strategies for myocardial tuberculoma.

Main Methods:

  • Case presentation of an 18-year-old female with multifocal TB.
  • Diagnostic procedures included percutaneous femoral catheter-guided biopsy and median sternotomy.
  • Treatment involved surgical intervention and anti-tuberculosis drugs.

Main Results:

  • The patient presented with abdominal lymphadenopathy, sternotomy wound infection, abdominal wall abscess, and a myocardial tuberculoma.
  • Diagnosis was confirmed via tissue culture.
  • The patient achieved full recovery after surgery and nine months of anti-tuberculosis therapy.

Conclusions:

  • Myocardial tuberculoma diagnosis requires tissue culture for confirmation.
  • Treatment may involve anti-tuberculosis drugs alone or in combination with surgery.
  • Indications for surgery include diagnostic uncertainty, poor treatment response, or cardiac complications.
Abstract

Keywords:
Mycobacterium tuberculosisMyocardial tuberculomaMyocardiumRight atrial massTuberculosis

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