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Diffuse infiltrative cardiac tuberculosis.

Gulati GS, Kothari SS - Ann Pediatr Cardiol (2011)

Bottom Line: We present the cardiac magnetic resonance images of an unusual form of cardiac tuberculosis.Nodular masses in a sheet-like distribution were seen to infiltrate the outer myocardium and pericardium along most of the cardiac chambers.The lesions showed significant resolution on antitubercular therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiac Radiology, All India Institute of Medical Sciences, New Delhi - 110 029, India.

ABSTRACT
We present the cardiac magnetic resonance images of an unusual form of cardiac tuberculosis. Nodular masses in a sheet-like distribution were seen to infiltrate the outer myocardium and pericardium along most of the cardiac chambers. The lesions showed significant resolution on antitubercular therapy.

No MeSH data available.


Related in: MedlinePlus

Electrocardiogram showing incomplete right bundle branch block (RBBB) and diffuse ST-T changes. (Note the saddle-shaped elevation in V1)
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Figure 2: Electrocardiogram showing incomplete right bundle branch block (RBBB) and diffuse ST-T changes. (Note the saddle-shaped elevation in V1)

Mentions: A 12-year-old boy was referred for evaluation of cardiac mass. He had progressive exertional fatigue for 1 year and palpitations for the past 6 months. There was no history of prolonged fever, joint pains, weight loss, or chest trauma. There was no known heart disease in the past. On examination, heart rate of 100/min, blood pressure of 110/70 mmHg, and raised jugular venous pressure of 7 cm above the sternal angle were found. The cardiac examination was apparently normal. Other systems examination was also normal, except a 5 cm hepatomegaly. The chest X-ray showed mild cardiomegaly and clear lung fields [Figure 1]. Routine hematological and biochemical investigations were unrevealing. The electrocardiogram (ECG) showed incomplete right bundle branch block and prominent, diffuse ST-T changes, including saddle-shaped elevation in V1 [Figure 2]. An echocardiogram showed an infiltrating mass lesion involving both the right and the left ventricles. The mass appeared more prominent around the right ventricular outflow tract. The contractility was mildly reduced in both the ventricles. The diagnosis was not clear.


Diffuse infiltrative cardiac tuberculosis.

Gulati GS, Kothari SS - Ann Pediatr Cardiol (2011)

Electrocardiogram showing incomplete right bundle branch block (RBBB) and diffuse ST-T changes. (Note the saddle-shaped elevation in V1)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3104545&req=5

Figure 2: Electrocardiogram showing incomplete right bundle branch block (RBBB) and diffuse ST-T changes. (Note the saddle-shaped elevation in V1)
Mentions: A 12-year-old boy was referred for evaluation of cardiac mass. He had progressive exertional fatigue for 1 year and palpitations for the past 6 months. There was no history of prolonged fever, joint pains, weight loss, or chest trauma. There was no known heart disease in the past. On examination, heart rate of 100/min, blood pressure of 110/70 mmHg, and raised jugular venous pressure of 7 cm above the sternal angle were found. The cardiac examination was apparently normal. Other systems examination was also normal, except a 5 cm hepatomegaly. The chest X-ray showed mild cardiomegaly and clear lung fields [Figure 1]. Routine hematological and biochemical investigations were unrevealing. The electrocardiogram (ECG) showed incomplete right bundle branch block and prominent, diffuse ST-T changes, including saddle-shaped elevation in V1 [Figure 2]. An echocardiogram showed an infiltrating mass lesion involving both the right and the left ventricles. The mass appeared more prominent around the right ventricular outflow tract. The contractility was mildly reduced in both the ventricles. The diagnosis was not clear.

Bottom Line: We present the cardiac magnetic resonance images of an unusual form of cardiac tuberculosis.Nodular masses in a sheet-like distribution were seen to infiltrate the outer myocardium and pericardium along most of the cardiac chambers.The lesions showed significant resolution on antitubercular therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiac Radiology, All India Institute of Medical Sciences, New Delhi - 110 029, India.

ABSTRACT
We present the cardiac magnetic resonance images of an unusual form of cardiac tuberculosis. Nodular masses in a sheet-like distribution were seen to infiltrate the outer myocardium and pericardium along most of the cardiac chambers. The lesions showed significant resolution on antitubercular therapy.

No MeSH data available.


Related in: MedlinePlus