Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 39790755.
- Also identified by DOI 10.4103/jfmpc.jfmpc_548_24 and PMC identifier 11709060.
- Licence recorded as CC BY-NC-SA.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
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 <5<sup>th</sup> 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.