Cardiac tuberculosis

Changed by Henry Knipe, 12 Jul 2015

Updates to Article Attributes

Body was changed:

Cardiac tuberculosis refers to the infection of the cardiac musculature withMycobacteria tuberculosisMycobacterium tuberculosis. It is a rare entity but known to occur.

Pathology

Generally associated with and occuringoccurring as a complication of mediastinal and pulmonary tuberculosis.

Pericardial and myocardial involvement is known. Endocardial spread may occur from myocardium. Modes of spread to the myocardium are via  lymphatics from mediastinal nodes, directly from the pericardium, or via a hematogenous route. 

Radiographic features

Plain film
CT
CMR (cardiac magnetic resonance imaging)Cardiac MRI
  • T1:- nodular nodular lesion which appear isointense to slightly hyperintense
  • T2: - isointense isointense 
  • C+ Gd+: - mild heterogenous mild heterogeneous enhancement

Treatment and prognosis

Patients generally respond well to antitubercular therapy. Clinical examination, known primary pulmonary infection and follow-up examinations will help confirm the diagnosis.

Differential diagnosis

Imaging differential considerations include

Treatment and prognosis

Patients generally respond well to anti-tubercular therapy. Clinical examination, known primary pulmonary infection and follow-up examinations will help confirm the diagnosis.

  • -<p><strong>Cardiac tuberculosis </strong>refers to the infection of the cardiac musculature with <em>Mycobacteria tuberculosis</em>. It is a rare entity but known to occur.</p><h4><strong>Pathology</strong></h4><p>Generally associated with and occuring as a complication of mediastinal and <a href="/articles/pulmonary-manifestations-of-tuberculosis">pulmonary tuberculosis</a>.</p><p>Pericardial and myocardial involvement is known. Endocardial spread may occur from myocardium. Modes of spread to the myocardium are via  lymphatics from mediastinal nodes, directly from the <a href="/articles/pericardium">pericardium</a>, or via a hematogenous route. </p><h4>Radiographic features</h4><h5>Plain film</h5><ul>
  • +<p><strong>Cardiac tuberculosis </strong>refers to the infection of the cardiac musculature with <em>Mycobacterium tuberculosis</em>. It is a rare entity but known to occur.</p><h4>Pathology</h4><p>Generally associated with and occurring as a complication of mediastinal and <a href="/articles/tuberculosis-pulmonary-manifestations">pulmonary tuberculosis</a>.</p><p>Pericardial and myocardial involvement is known. Endocardial spread may occur from myocardium. Modes of spread to the myocardium are via  lymphatics from mediastinal nodes, directly from the <a href="/articles/pericardium">pericardium</a>, or via a hematogenous route. </p><h4>Radiographic features</h4><h5>Plain film</h5><ul>
  • -</ul><h5>CMR (cardiac magnetic resonance imaging)</h5><ul>
  • +</ul><h5>Cardiac MRI</h5><ul>
  • -<strong>T1 </strong>- nodular lesion which appear isointense to slightly hyperintense</li>
  • +<strong>T1:</strong> nodular lesion which appear isointense to slightly hyperintense</li>
  • -<strong>T2</strong> - isointense </li>
  • +<strong>T2:</strong> isointense </li>
  • -<strong>C+ Gd<sup>+</sup></strong> - mild heterogenous enhancement</li>
  • -</ul><h4><strong>Differential diagnosis</strong></h4><p>Imaging differential considerations include</p><ul>
  • +<strong>C+ Gd<span style="font-size:10.8333330154419px; line-height:17.3333320617676px">:</span></strong> mild heterogeneous enhancement</li>
  • +</ul><h4>Treatment and prognosis</h4><p>Patients generally respond well to antitubercular therapy. Clinical examination, known <a title="Primary pulmonary tuberculosis" href="/articles/primary-pulmonary-tuberculosis">primary pulmonary infection</a> and follow-up examinations will help confirm the diagnosis.</p><h4><strong>Differential diagnosis</strong></h4><p>Imaging differential considerations include</p><ul>
  • -</ul><h4>Treatment and prognosis</h4><p>Patients generally respond well to anti-tubercular therapy. Clinical examination, known primary pulmonary infection and follow-up examinations will help confirm the diagnosis.</p>
  • +</ul>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.