de León-Peña A, Stanislawsky-Mileant E, Sáenz-Aguado G, Ruíz-Macías V, González-Carmona V M, Bernal M A
Hospital de Cardiología Luis Méndez, Centro Médico Nacional, Instituto Mexicano del Seguro Social, México, D.F.
Arch Inst Cardiol Mex. 1989 Sep-Oct;59(5):511-6.
We report a case of a 22 year-old drug addict man with overt heart failure and cardiomegaly. The patient had no prior history of tuberculosis and not clinical features to suggest this diagnosis. Tuberculosis myocarditis was found at the necropsy. It is important to point out the frequency of this pathology, the uncommon clinical presentation of this case; as well as the lack of immunologic response to the tuberculous bacillus.
我们报告一例22岁的吸毒成瘾男性,患有明显的心力衰竭和心脏扩大。该患者既往无结核病病史,也没有提示该诊断的临床特征。尸检时发现了结核性心肌炎。重要的是要指出这种病理情况的发生率、该病例不常见的临床表现;以及对结核杆菌缺乏免疫反应。