Tubercular myocarditis: two case reports and review of the literature

• Published in: Annales de cardiologie et d'angeiologie Vol. 60; no. 2; p. 105
• Main Authors: Mteirek, M, Beuret, P, Convert, G
• Format: Journal Article
• Language: French
• Published: France 01.04.2011
• Subjects: Adult; Antitubercular Agents - therapeutic use; Biopsy; Diagnosis, Differential; Female; Humans; Mycobacterium tuberculosis - isolation & purification; Myocardial Infarction - diagnosis; Myocarditis - diagnosis; Myocarditis - drug therapy; Myocarditis - microbiology; Myocardium - pathology; Pericarditis, Tuberculous - diagnosis; Prognosis; Shock, Cardiogenic - diagnosis; Shock, Cardiogenic - drug therapy; Shock, Cardiogenic - microbiology; Tuberculosis, Cardiovascular - diagnosis; Tuberculosis, Cardiovascular - drug therapy; Tuberculosis, Cardiovascular - microbiology; Tuberculosis, Meningeal - diagnosis; Tuberculosis, Pulmonary - complications; Tuberculosis, Pulmonary - diagnosis; Tuberculosis, Pulmonary - drug therapy
• ISSN: 1768-3181
• DOI: 10.1016/j.ancard.2010.12.029

We report here the cases of two patients developing tubercular myocarditis with a different clinical presentation, the first one with a myopericarditis, the second one presenting as pseudo-infarction complicated by cardiogenic shock. We discuss here the different anatomical and clinical presentations, the diagnostic approach, the indications of myocardic biopsy and the prognosis of this pathology.