Unbound MEDLINE

Disseminated tuberculosis presenting as acute coronary syndrome.

Abstract

Tuberculosis is a major public health problem in Bangladesh. Though tuberculosis is common but acute myopericarditis can rarely be caused by tuberculosis infection. A case of disseminated tuberculosis presenting with features of acute coronary syndrome is presenting here. A 26 years old man was admitted for severe central chest pain for 2 days and fever for 2 months. His ECG showed ST segment elevation in chest leads, V1 to V4 with elevated Troponin I and high ESR. Chest X-Ray depicted an enlarged cardiac shadow. Echocardiography demonstrated multiple dynamic cavitary lesions involving interventricular septum as well as anterior wall of the left ventricle within myocardium with moderate pericardial effusion with trivial mitral regurgitation. A CT scan of chest with contrast revealed multiple calcific communicating cavities within endocardium and myocardium involving interventricular septum and anterior wall of the left ventricle of heart and multiple cavitary lesions in the mid zone of left lung with bilateral mild pleural effusion. The patient made an excellent recovery on management of acute coronary syndrome and on antitubercular therapy.

Authors

Paul GK, Bari MS, Bari MA, Debnath RC, Majumder RK, Chanda SK, Siddique SR, Khan TA, Khan MK

Source

Mymensingh medical journal : MMJ 20:4 2011 Oct pg 709-11

MeSH

Acute Coronary Syndrome
Adult
Electrocardiography
Humans
Male
Tuberculosis, Cardiovascular

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22081193