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Diagnostic challenges in a patient with myocardial tuberculoma: A case report
INTRODUCTION: Tuberculosis can affect any organ of the body, including the heart. PRESENTATION OF CASE: An 18-year old woman presented with a multifocal tuberculosis infection involving abdominal lymph nodes, a sternotomy wound, an abscess of the abdominal wall and most notably a myocardial tubercul...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121159/ https://www.ncbi.nlm.nih.gov/pubmed/27871010 http://dx.doi.org/10.1016/j.ijscr.2016.11.004 |
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author | Säll, Olof Cha, Soon-Ok Holmberg, Hans |
author_facet | Säll, Olof Cha, Soon-Ok Holmberg, Hans |
author_sort | Säll, Olof |
collection | PubMed |
description | INTRODUCTION: Tuberculosis can affect any organ of the body, including the heart. PRESENTATION OF CASE: An 18-year old woman presented with a multifocal tuberculosis infection involving abdominal lymph nodes, a sternotomy wound, an abscess of the abdominal wall and most notably a myocardial tuberculoma. Establishing the diagnosis of the myocardial tuberculoma was challenging mainly due to the location within the heart. Initially a diagnostic percutaneous femoral vascular catheter guided biopsy of the right atrial mass was performed, but later open surgery involving median sternotomy was needed. The patient recovered fully after surgery and nine months treatment with anti-tuberculosis drugs. DISCUSSION: The optimal length of treatment for myocardial tuberculoma is unknown. Medical treatment for six months might be enough regardless whether surgery is performed or not. CONCLUSION: Myocardial tuberculoma requires culture from the infected tissue for confirmed diagnosis and might be successfully treated with anti-tuberculosis drugs only. Indications for surgery include uncertain diagnosis, poor response to medical treatment or cardiac complications. |
format | Online Article Text |
id | pubmed-5121159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-51211592016-11-28 Diagnostic challenges in a patient with myocardial tuberculoma: A case report Säll, Olof Cha, Soon-Ok Holmberg, Hans Int J Surg Case Rep Case Report INTRODUCTION: Tuberculosis can affect any organ of the body, including the heart. PRESENTATION OF CASE: An 18-year old woman presented with a multifocal tuberculosis infection involving abdominal lymph nodes, a sternotomy wound, an abscess of the abdominal wall and most notably a myocardial tuberculoma. Establishing the diagnosis of the myocardial tuberculoma was challenging mainly due to the location within the heart. Initially a diagnostic percutaneous femoral vascular catheter guided biopsy of the right atrial mass was performed, but later open surgery involving median sternotomy was needed. The patient recovered fully after surgery and nine months treatment with anti-tuberculosis drugs. DISCUSSION: The optimal length of treatment for myocardial tuberculoma is unknown. Medical treatment for six months might be enough regardless whether surgery is performed or not. CONCLUSION: Myocardial tuberculoma requires culture from the infected tissue for confirmed diagnosis and might be successfully treated with anti-tuberculosis drugs only. Indications for surgery include uncertain diagnosis, poor response to medical treatment or cardiac complications. Elsevier 2016-11-05 /pmc/articles/PMC5121159/ /pubmed/27871010 http://dx.doi.org/10.1016/j.ijscr.2016.11.004 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Säll, Olof Cha, Soon-Ok Holmberg, Hans Diagnostic challenges in a patient with myocardial tuberculoma: A case report |
title | Diagnostic challenges in a patient with myocardial tuberculoma: A case report |
title_full | Diagnostic challenges in a patient with myocardial tuberculoma: A case report |
title_fullStr | Diagnostic challenges in a patient with myocardial tuberculoma: A case report |
title_full_unstemmed | Diagnostic challenges in a patient with myocardial tuberculoma: A case report |
title_short | Diagnostic challenges in a patient with myocardial tuberculoma: A case report |
title_sort | diagnostic challenges in a patient with myocardial tuberculoma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121159/ https://www.ncbi.nlm.nih.gov/pubmed/27871010 http://dx.doi.org/10.1016/j.ijscr.2016.11.004 |
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