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Right atrial tuberculoma enclosed by thrombus.
Glob Cardiol Sci Pract
August 2024
Clinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Right atrial tuberculoma (RAT) are an exceedingly rare heart mass often caused by primary pulmonary tuberculosis (TB) in patients infected with human immunodeficiency virus (HIV). In HIV patients, the right atrium is not only a suitable location for tuberculoma formation, but also has a tendency for thrombus formation due to the thrombophilic state of HIV and the destructive effect of the HIV virus on the endothelial surface of the right atrium and subsequent thrombus formation. These masses can simply be detected by transthoracic echocardiography (TEE), but their differentiation from other cardiac pathologies requires histological examination.
View Article and Find Full Text PDFDisseminated Miliary and Intestinal Tuberculosis Mimicking Inflammatory Bowel Disease.
Cureus
December 2023
Internal Medicine, Trident Medical Center, Charleston, USA.
The hematogenous dissemination of () is commonly via the pulmonary system. Less commonly, ingestion of can lead to primary intestinal tuberculosis (TB), often misdiagnosed as inflammatory bowel disease (IBD). In extremely rare cases, the dissemination can involve cardiac infiltration/tuberculoma.
View Article and Find Full Text PDFA Vanishing Cardiac Mass.
J Saudi Heart Assoc
December 2021
King Abdulaziz Cardiac Center, King Abdulaziz Medical City -National Guard Health Affairs, Riyadh, Saudi Arabia.
The prevalence of extrapulmonary tuberculosis (TB) is very common in the Middle East; however, myocardial involvement is among the most infrequent manifestations of extrapulmonary TB. We present a young adult who was incidentally found to have a large right atrial tuberculoma, diagnosed by non-invasive cardiac imaging and effectively treated with standard first-line anti-TB treatment, steroids, and anticoagulation. This case is a classical presentation of nodular myocardial involvement of TB, highlighting advantages of advanced imaging, e.
View Article and Find Full Text PDFDisseminated tuberculosis - diagnostic challenges of atrial tuberculoma masquerading as atrial myxoma.
J R Coll Physicians Edinb
December 2017
A Alaga, Hospital Sultanah Bahiyah, Jalan Langgar, 05460 Alor Setar, Kedah Darul Aman, Malaysia. Email:
A 47-year-old female, with multiple comorbidities, presented with a cough of two months, loss of weight and appetite. She was treated for pneumonia. A chest X-ray showed bilateral reticulonodular opacities.
View Article and Find Full Text PDFDiagnostic challenges in a patient with myocardial tuberculoma: A case report.
Int J Surg Case Rep
November 2016
Faculty of Medicine and Health, Örebro University, Örebro, Sweden. Electronic address:
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.
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