Pulmonary tuberculosis with cardiac dysfunction: An ignored combination!
Shital Vishnu Patil 1 2 * , Sham Toshniwal 3 , Gajanan Gondhali 1 , Deepak Patil 1
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1 MIMSR Medical College, Latur, Maharashtra, INDIA2 Venkatesh Chest Hospital and Critical Care Center, Latur, Maharashtra, INDIA3 NIMS Medical College, Jaipur, Rajasthan, INDIA* Corresponding Author

Abstract

Cardiovascular involvement is rare in tuberculosis & high index of suspicion is must in diagnosing these cases in high burden setting to have successful treatment outcome. In this case report, 26-year male, presented with constitutional symptoms for three months duration with acute deterioration with tachycardia and tachypnea with hypoxia. Radiological investigations documented conglomerated miliary tuberculosis and confirmed by sputum smear microscopy. Cardiac investigations revealed sinus tachycardia in ECG, raised cardiac enzymes, and echocardiography as ‘global left ventricular hypokinesia’ with reduced ejection fraction. Treatment initiated with steroids with anti-tuberculosis and recorded near complete radiological resolution, bacteriological cure and restored cardiac function after six months with good compliance. We recommend cardiac workup in all pulmonary tuberculosis cases with disproportionate tachycardia.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

ELECTRON J GEN MED, Volume 20, Issue 1, February 2023, Article No: em437

https://doi.org/10.29333/ejgm/12679

Publication date: 01 Jan 2023

Online publication date: 05 Dec 2022

Article Views: 952

Article Downloads: 2162

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