Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child
Involvement of the heart in children with tuberculosis (TB) generally affects the pericardium; however, the myocardium of a child being affected alone and leading to systolic heart dysfunction has rarely ever been reported. We report a case of a 12-year-old child who presented to Pediatric Emergency...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jfmpc.jfmpc_548_24 |
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| Summary: | Involvement of the heart in children with tuberculosis (TB) generally affects the pericardium; however, the myocardium of a child being affected alone and leading to systolic heart dysfunction has rarely ever been reported. We report a case of a 12-year-old child who presented to Pediatric Emergency Services with severe hypotension (BP <5th percentile for the age) and was subsequently diagnosed with severe left ventricular (LV) dysfunction, with an ejection fraction of less than 15%. During the hospital stay, after an exhaustive workup, the child was diagnosed with pulmonary TB with tubercular myocarditis. The child was managed with anti-tubercular treatment (ATT) and was followed up regularly for monitoring of ejection fraction with echocardiography. The LV systolic function improved, with the ejection fraction increasing to 55%-60% at 3 months. The child is still on regular follow-up, has completed 6-month course of ATT, and is doing well. |
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| ISSN: | 2249-4863 2278-7135 |