Histopathological spectrum of Cardiac Tuberculosis on autopsy: series of 11 cases
DOI:
https://doi.org/10.37506/9gf2d751Keywords:
Caseating granuloma , fibrinous pericarditis , necrotizing arteritis, , tuberculous myopericarditisAbstract
Background: Tuberculosis (TB) is leading cause of morbidity and mortality worldwide. However, this endemic disease rarely involves heart. Cardiac TB can involve any structure of heart with pericarditis is most frequent manifestation.
Methods: This retrospective study was conducted at Department of Pathology from January 2012 to December 2020. Autopsy records of all cases suggestive of tuberculosis in any part of heart were selected and slides were reviewed.
Results: A total of 11 cases of cardiac TB were recorded on autopsy, including 6 cases of isolated myocarditis, 2 cases of myopericarditis 2 cases of isolated pericarditis and one case of necrotizing arteritis in left coronary artery. Concomitant pulmonary TB was present in 72.7% cases.
Conclusion: This study highlights that in all patients of pulmonary tuberculosis with appearance of any cardiovascular sign or symptom, cardiac TB should be suspected as one of the differentials.
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