Palcoux M C, Lamaison D, Cassagnes J, Ricoux M, Lusson J R, Courtadon M, Richard E, Jallut H
Arch Mal Coeur Vaiss. 1982 Nov;75(11):1311-5.
A case of lethal cardiac tuberculosis with myocardial and endocardial involvement is reported in a 46 year old man with a Starr-Edwards mitral valve prosthesis inserted two years previously for severe mitral regurgitation, secondary to ruptured chordae of the posterior mitral leaflet. Apart from tuberculous pericarditis, cardiac involvement is extremely rare; it occurs in "tuberculous septicemia" whose characteristic features--tuberculinic anergy, hematological abnormalities especially pancytopenia,--lead to delay in diagnosis, which is usually fatal. The case presented is an example.
报告了一例致死性心脏结核病例，累及心肌和心内膜。患者为一名46岁男性，两年前因严重二尖瓣反流（继发于二尖瓣后叶腱索破裂）植入了斯塔尔-爱德华兹二尖瓣人工瓣膜。除结核性心包炎外，心脏受累极为罕见；它发生在“结核败血症”中，其特征——结核菌素无反应、血液学异常尤其是全血细胞减少——导致诊断延迟，通常是致命的。本文所呈现的病例就是一个例子。
