Rose A G
Arch Pathol Lab Med. 1987 May;111(5):422-6.
Myocardial tuberculosis (TB) was encountered in 19 patients (0.14%) at autopsy over a 27-year period. Eight patients had miliary lesions, and 11 had nodular lesions. Myocardial TB was diagnosed ante mortem in only one patient. Three patients developed left ventricular aneurysms. Tuberculous lesions were most commonly observed in the ventricles. Nodular tuberculous lesions produced no significant cardiac dysfunction, and the severe systemic symptoms of patients with miliary TB overshadowed the effects of cardiac miliary TB. Two additional patients with disseminated TB showed a focal lymphocytic myocarditis unassociated with diagnostic tuberculous lesions in the heart. This myocarditis differed histologically from the diffuse myocarditis described in the older literature.
在27年的尸检中，发现19例（0.14%）心肌结核患者。8例有粟粒样病变，11例有结节样病变。生前仅1例诊断为心肌结核。3例发生左心室室壁瘤。结核病变最常见于心室。结节样结核病变未引起明显的心功能障碍，粟粒型肺结核患者的严重全身症状掩盖了心脏粟粒样结核的影响。另外2例播散性结核患者表现为局灶性淋巴细胞性心肌炎，与心脏诊断性结核病变无关。这种心肌炎在组织学上与早期文献中描述的弥漫性心肌炎不同。
