Pergola Valeria, Al-Admawi Mohammed, Fadel Bahaa, Di Salvo Giovanni
King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
J Cardiol Cases. 2016 Feb 26;13(5):143-145. doi: 10.1016/j.jccase.2016.01.002. eCollection 2016 May.
Cardiac tuberculosis is rare. We report an unusual case of cardiac tuberculoma diagnosed in vitam in a 38-year-old woman, with end-stage renal disease and discovered to have mediastinal tuberculosis in 2013. She presented to the emergency department complaining of fever and chills during hemodialysis. A cardiac mass suggestive of tuberculoma was found in the right atrium using echocardiography, computed tomography scan, and cardiac magnetic resonance. Sputum culture was positive for acid fast bacilli. The patient received anti-tuberculosis therapy with improvement of symptoms and reduction of the mass. < Cardiac masses are not infrequently found in right atrium, especially in patients under hemodialysis. In patients known to have tuberculosis the differential diagnosis should include cardiac tuberculoma.>.
心脏结核较为罕见。我们报告了一例不同寻常的心脏结核瘤病例，该病例为一名38岁患有终末期肾病的女性，于2013年被发现患有纵隔结核，并在生前被诊断为心脏结核瘤。她因在血液透析期间出现发热和寒战而就诊于急诊科。通过超声心动图、计算机断层扫描和心脏磁共振检查，在右心房发现了一个提示为结核瘤的心脏肿块。痰培养结核杆菌呈阳性。患者接受抗结核治疗后症状改善，肿块缩小。<右心房中经常发现心脏肿块，尤其是在接受血液透析的患者中。对于已知患有结核病的患者，鉴别诊断应包括心脏结核瘤。>
