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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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Family Medicine and Primary Care |
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| Online Access: | https://journals.lww.com/10.4103/jfmpc.jfmpc_548_24 |
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| author | Dinkar Yadav Geeta Gathwala Anita Saxena Kapil Bhalla |
| author_facet | Dinkar Yadav Geeta Gathwala Anita Saxena Kapil Bhalla |
| author_sort | Dinkar Yadav |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-31dc6f8e22254bc19bb8180580879051 |
| institution | Kabale University |
| issn | 2249-4863 2278-7135 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj-art-31dc6f8e22254bc19bb81805808790512025-01-11T10:14:04ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352024-12-0113125924592610.4103/jfmpc.jfmpc_548_24Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent childDinkar YadavGeeta GathwalaAnita SaxenaKapil BhallaInvolvement 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.https://journals.lww.com/10.4103/jfmpc.jfmpc_548_24ejection fractionlv dysfunctionpediatric tubercular myocarditis |
| spellingShingle | Dinkar Yadav Geeta Gathwala Anita Saxena Kapil Bhalla Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child Journal of Family Medicine and Primary Care ejection fraction lv dysfunction pediatric tubercular myocarditis |
| title | Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child |
| title_full | Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child |
| title_fullStr | Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child |
| title_full_unstemmed | Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child |
| title_short | Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child |
| title_sort | pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child |
| topic | ejection fraction lv dysfunction pediatric tubercular myocarditis |
| url | https://journals.lww.com/10.4103/jfmpc.jfmpc_548_24 |
| work_keys_str_mv | AT dinkaryadav pulmonarytuberculosispresentingwithtubercularmyocarditisandshockinanadolescentchild AT geetagathwala pulmonarytuberculosispresentingwithtubercularmyocarditisandshockinanadolescentchild AT anitasaxena pulmonarytuberculosispresentingwithtubercularmyocarditisandshockinanadolescentchild AT kapilbhalla pulmonarytuberculosispresentingwithtubercularmyocarditisandshockinanadolescentchild |