Sultan Fateh Ali Tipoo, Fatimi Saulat, Jamil Bushra, Moustafa Sherif E, Mookadam Farouk
Section of Cardiology, Aga Khan University Hospital, Karachi, Pakistan.
Eur J Echocardiogr. 2010 May;11(4):E13. doi: 10.1093/ejechocard/jep202. Epub 2009 Dec 10.
Valvular endocarditis due to Mycobacterium tuberculosis is a rare clinical entity. It is usually manifest in the context of disseminated tuberculosis in immunocompromised patients. This report describes a unique case of a 30-year-old immunocompetent man with an incidental finding of tuberculous valvular endocarditis. The patient had a large mass on the anterior mitral leaflet and severe mitral regurgitation. He underwent mitral valve replacement and Mycobacterium tuberculosis was cultured from the valve vegetation and the right atrial masses. Post-operative recovery has been uneventful without relapse for 24 months.
结核分枝杆菌所致的瓣膜性心内膜炎是一种罕见的临床病症。它通常在免疫功能低下患者发生播散性结核病的情况下出现。本报告描述了一例独特病例，一名30岁免疫功能正常的男性偶然发现患有结核性瓣膜性心内膜炎。该患者二尖瓣前叶有一个大肿块，伴有严重的二尖瓣反流。他接受了二尖瓣置换术，从瓣膜赘生物和右心房肿块中培养出了结核分枝杆菌。术后恢复顺利，24个月未复发。
