Tuberculosis is one of several preventable and curable
communicable diseases that is a major cause of morbidity and one of the top ten
causes of death worldwide. Cardiac tuberculosis frequently affects the
pericardium. Although rare, most cases of tuberculosis involving the myocardium
and endocardium present as sudden cardiac death in asymptomatic patients.
Information regarding the myocardial and endocardial involvement of
tuberculosis appears in the literature once in a blue moon. As a result, there
is a knowledge gap about cardiac tuberculosis among health professionals.
This chapter aims to review the challenges related to the
diagnosis and management of cardiac tuberculoma and provide the latest
information from the literature on the diagnosis and management that allows
appropriate management and monitoring of potential associated complications. In
addition, the mechanisms for complications and sudden cardiac deaths are
reviewed to break new ground in early diagnosis and therapy. Furthermore, to
illustrate this, an exemplary case of sudden cardiac death from tuberculoma of
the right atrium with a secondary thrombus causing bicaval obstruction observed
in an asymptomatic immunocompetent young man is presented. This case report
provides valuable insights into the rare but critical issue of cardiac
tuberculoma, shedding light on its early diagnosis and management for
healthcare professionals.
Author(s) Details:
Alemayehu Shiferaw Lema,
Department of Forensic Medicine and Toxicology, St. Paul’s Hospital
Millennium Medical College, Addis Ababa, Ethiopia.
Please see the link here: https://stm.bookpi.org/ANUMS-V3/article/view/13160
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