Left Ventricular Tubercular Myocarditis with Unique Imaging Features on Cardiac MRI: A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Myocarditis is a rare manifestation of tuberculosis, often associated with high morbidity and mortality. Cardiac magnetic resonance imaging (MRI) is a critical imaging tool for assessing infiltrative myocardial conditions. We describe the case of an adult patient from a tuberculosis-endemic region who presented with sudden-onset symptomatic arrhythmias. Cardiac MRI findings included heterogeneous signal intensity in the left ventricular myocardium, altered myocardial nulling time, and a patchy "zebroid-like" pattern of late gadolinium enhancement. Additionally, necrotic supraclavicular and retroperitoneal lymphadenopathy were observed. Fine-needle aspiration cytology of the affected lymph node revealed epithelioid inflammatory granulomas. The patient was diagnosed with disseminated tuberculosis and tubercular myocarditis. Following the initiation of a standard anti-tubercular regimen, significant clinical improvement was noted at the 2-month follow-up.
Authors: Pratyaksha Rana, Megha Sheth, Archit Dikshit, Saurabh Deshpande, Milin Garachh, Samir Patel, Payal Tripathi, Dinesh Patel
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4409832713