Cardiac tuberculosis

Dr Ian Bickle and Dr Aditya Shetty et al.

Cardiac tuberculosis refers to the rare infection of the cardiac musculature with Mycobacterium tuberculosis.

Generally associated with and occurring 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 haematogenous route.

Plain radiograph
Cardiac MRI
  • T1: nodular lesion which appear isointense to slightly hyperintense
  • T2: isointense
  • C+ Gd: mild heterogeneous enhancement

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

Imaging differential considerations include:

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Article information

rID: 27593
System: Cardiac
Section: Pathology
Tag: tb
Synonyms or Alternate Spellings:
  • Cardiac manifesstations of tuberculosis

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Cases and figures

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    Case 1: pulmonary tuberculosis with left atrial tuberculoma
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