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[Tuberculous coronaritis as a cause of myocardial infarct].
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Tuberculosis myocarditis: a case report.
A 35-year old man presented with fever, weight loss, drenching night sweats and symptoms of cardiac failure for three months. Examination revealed wasting, peripheral oedema, bilateral pleural effusion and constrictive pericarditis. A diagnosis of constrictive pericarditis with bilateral pleural effusion probably due to tuberculosis was made. Human immunodeficiency virus antibodies and six sputum for acidfast bacilli were negative. Electrocardiograph revealed low voltages globally and echocardiography showed global myocardial hypokinesia. He had pericardiectomy, pericardial and pleural histology was non-specific inflammatory reaction but myocardial histology showed granulomatous changes of tuberculous myocarditis. We suggest that in experienced hands myocardial biopsy could be useful in making the diagnosis.
Surgical Grand Rounds. Case report: Tuberculoma.
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Aorto-oesophageal fistula complicating tuberculous aortitis. A case report.
A case of massive upper gastro-intestinal haemorrhage in a Black woman owing to tuberculous aorto-oesophageal fistula is reported. The literature is reviewed and the clinical presentation discussed. This possibly represents only the second case of aorto-oesophageal fistula complicating postprimary tuberculosis to appear in medical literature.
Tuberculous renal artery aneurysm: a case report.
Tuberculous renal artery aneurysm in a 36-year-old Black man is reported. This is thought to be the first case reported in the English language medical literature. The literature is reviewed with regard to presentation and management of renal artery aneurysm in general, with specific reference to tuberculous arterial infection.
Thalamic haemorrhage due to tubercular arteritis.
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Myopathy and neuropathy due to tuberculous vasculitis.
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Mycobacterial infections following heart valve replacement.
Mycobacterial infection is an uncommon but very serious complication of heart valve replacement and other forms of cardiac surgery. Tuberculosis has been a rare complication of valve replacement in the industrially developed countries owing to the low incidence of that disease in such countries. Most reported cases are associated with the insertion of human allograft valves. Valvular tuberculosis could become a more serious problem if heart valve replacement surgery is used to any extent in countries where tuberculosis is common. The majority of other mycobacterial infections occurring after heart surgery have, for unknown reasons, been due to the rapid growers M. chelonae and M. fortuitum. Porcine xenograft valves have been contaminated by M. chelonae, possibly during manufacture as this is not a natural pathogen of pigs. A minority of patients receiving valves known to be contaminated by M. chelonae subsequently developed valve disease. Mycobacterial disease following insertion of mechanical valves is a very uncommon occurrence but the prognosis is poor. There have been several outbreaks of infection of the sternotomy wound by M. chelonae and M. fortuitum and, although the prognosis is better than for mycobacterial endocarditis, treatment, especially for infections due to M. chelonae, often involves extensive debridement including removal of the entire sternum. In view of the poor response to therapy, prevention by avoidance of contamination of all surgical materials, including implanted valves, by environmental mycobacteria is of paramount importance.
[Heart tuberculosis, case report].
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[On "clinical primary" pericardial tuberculosis].
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[Fatal erosive hemorrhage due to tuberculous involvement of aorta].
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Tuberculous pseudoaneurysm of the celiac artery. A case report.
We report a case of tuberculous pseudoaneurysm in the neck of the celiac artery involving the aorta. Recurrence of the aneurysm occurred after attempted direct repair. Therefore redo-surgery was performed, which involved resection of aneurysm and removal of the infected tissue with bilateral axillofemoral bypass.
Thalamic haemorrhage due to tuberculous arteritis.
A young adult presenting as subarachnoid haemorrhage, which was proved to be a thalamic haemorrhage on CT scan, with evidence of tuberculous arteritis, is reported.
[Fever, polyarthritis, left hemiplegia and loss of consciousness in a 37-year-old man with T-cell lymphoma].
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[Primary operation of pericardiectomy and decortication of the right lung for tuberculous pericarditis with empyema].
A 28-year old man who complained of ortho-apnea and fever was diagnosed to have cardiac tamponade. Pericardiocentesis was immediately carried out and peri-cardiac window was created on the 11th day. Typical caseating granulomas with acid-fast bacilli were detected in sections of the pericardium. A positive culture of Mycobacterium tuberculosis was observed in the sputum and the pericardial fluid. Though 3-month anti-tuberculosis treatment with streptomycin, isoniazid, and rifampicin was continued with 6-week steroid therapy, progressive thickness of the pericardium was suggested subsequent constriction. Pericardiectomy for pericarditis and decortication for empyema in the right thorax was performed at the same time. After 10 x 12 cm pericardium was resected through median sternotomy, decortication of the right lung was performed through right posterolateral thoracotomy. In the case with thickened pericardium, early pericardiectomy is recommended.
[Therapeutic procedure for tuberculous thrombophlebitis].
The author describe five cases of thrombophlebitis unchained for the bacillus of Koch, which first focus was not detected through the methods of search often used in this kind of work. It's a very rare peripheral vascular disease. The clinical manifestations which follows its installation has in the pain its most important symptom. The surgical resection of the vein was the most suitable conduct with the present pathological reality, once the clinical measures were unable to bring satisfactory results.