oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Diagnostic challenges in a patient with myocardial tuberculoma: A case report
Örebro University, School of Medical Sciences.ORCID iD: 0000-0003-1999-3383
Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
2016 (English)In: International journal of surgery case reports, ISSN 2210-2612, E-ISSN 2210-2612, Vol. 29, p. 201-203Article in journal (Refereed) Published
Abstract [en]

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. Initially a diagnostic percutaneous femoral vascular catheter guided biopsy of the right atrial mass was performed, but later open surgery involving median sternotomy was needed. The patient recovered fully after surgery and nine months treatment with anti-tuberculosis drugs.

DISCUSSION: The optimal length of treatment for myocardial tuberculoma is unknown. Medical treatment for six months might be enough regardless whether surgery is performed or not.

CONCLUSION: Myocardial tuberculoma requires culture from the infected tissue for confirmed diagnosis and might be successfully treated with anti-tuberculosis drugs only. Indications for surgery include uncertain diagnosis, poor response to medical treatment or cardiac complications. (C) 2016 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.

Place, publisher, year, edition, pages
Elsevier, 2016. Vol. 29, p. 201-203
Keywords [en]
Mycobacterium tuberculosis, Myocardial tuberculoma, Right atrial mass, Myocardium, Tuberculosis
National Category
Surgery
Research subject
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-54688DOI: 10.1016/j.ijscr.2016.11.004ISI: 000390020900051PubMedID: 27871010Scopus ID: 2-s2.0-84996567030OAI: oai:DiVA.org:oru-54688DiVA, id: diva2:1064872
Available from: 2017-01-13 Created: 2017-01-13 Last updated: 2017-11-29Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records BETA

Säll, Olof

Search in DiVA

By author/editor
Säll, Olof
By organisation
School of Medical Sciences
In the same journal
International journal of surgery case reports
Surgery

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 182 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf