دورية أكاديمية
Non-pulmonary Disseminated Tuberculosis Complicated by Constrictive Pericarditis and Cutaneous Gumma.
العنوان: | Non-pulmonary Disseminated Tuberculosis Complicated by Constrictive Pericarditis and Cutaneous Gumma. |
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المؤلفون: | Rustad AM; Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Hughes ZH; Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Osborn RL; Division of Infectious Disease, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Bhasin A; Division of Hospital Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. ajay.bhasin@nm.org.; Division of Hospital-Based Medicine, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. ajay.bhasin@nm.org. |
المصدر: | Journal of general internal medicine [J Gen Intern Med] 2022 Aug; Vol. 37 (10), pp. 2568-2572. Date of Electronic Publication: 2022 May 02. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Country of Publication: United States NLM ID: 8605834 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-1497 (Electronic) Linking ISSN: 08848734 NLM ISO Abbreviation: J Gen Intern Med Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Secaucus, NJ : Springer Original Publication: [Philadelphia, PA] : Hanley & Belfus, [c1986- |
مواضيع طبية MeSH: | Mycobacterium tuberculosis* , Pericarditis, Constrictive*/diagnosis , Pericarditis, Constrictive*/diagnostic imaging , Tuberculosis*/complications, Adult ; Fluorodeoxyglucose F18 ; Humans ; Male ; Stroke Volume ; Ventricular Function, Left ; Young Adult |
مستخلص: | A 23-year-old previously healthy male presented to the hospital with symptoms of heart failure. He was diagnosed with pericarditis and found to have a reduced left ventricular ejection fraction of 25%. He was noted to have mediastinal lymphadenopathy. Pulmonary and abdominal sampling were non-diagnostic for infection, autoimmune disease, or malignancy. A QuantiFERON Gold returned positive. After a thorough travel history and detailed exam, the patient was diagnosed with disseminated tuberculosis after the discovery of a cutaneous gumma that was found to have acid-fast bacilli present on biopsy with Fite's stain. 18 F-FDG PET CT and cardiac MRI were pursued given that pericardial and myocardial biopsy could not be safely performed due to the patient's hemodynamics. 18 F-FDG PET CT and cardiac MRI did not demonstrate any myocardial pathology responsible for the left ventricular ejection fraction. This case highlights that pulmonary involvement is not necessary for disseminated TB, Fite's stain may be used to identify M. tuberculosis, and that cardiac MRI and 18 F-FDG PET CT may be useful to delineate myocardial involvement in high-risk situations. (© 2022. The Author(s), under exclusive licence to Society of General Internal Medicine.) |
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المشرفين على المادة: | 0Z5B2CJX4D (Fluorodeoxyglucose F18) |
تواريخ الأحداث: | Date Created: 20220502 Date Completed: 20220810 Latest Revision: 20221014 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC9060403 |
DOI: | 10.1007/s11606-022-07619-w |
PMID: | 35501629 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1525-1497 |
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DOI: | 10.1007/s11606-022-07619-w |