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DOI: 10.1055/s-0044-1787772
Insights into Imaging of Pericardial and Cardiac Tuberculosis: A Comprehensive Review
Authors
Funding None.
Abstract
Pericardial and cardiac tuberculosis (TB) is an uncommon form of extrapulmonary TB that poses a considerable diagnostic challenge for clinicians due to its nonspecific and diverse presentation. Its presentation is so diverse and distinct that it necessitates advanced imaging with cardiac computed tomography (CT)/cardiac magnetic resonance (CMR) in addition to routine transthoracic echocardiography (TTE) for accurate diagnosis, myocardial involvement, management planning, and follow-up. This comprehensive review article highlights the highly valuable role of imaging modalities like echocardiography, cardiac CT, and CMR in the detailed evaluation of pericardial and cardiac TB, highlighting different forms of cardiac and pericardial involvement, their distinctive imaging features, and diagnostic challenges.
Publication History
Article published online:
02 August 2024
© 2024. Indographics. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Singhal M, Kaur M, Singh H, Bahl A, Nahar U, Sharma A. Multimodality imaging of myocardial tuberculosis presenting as right ventricular cardiomyopathy: a case report. Asian Cardiovasc Thorac Ann 2023; 31 (06) 515-518
- 2 Diagnostics | Free Full-Text | Cardiovascular Involvement in Tuberculosis: From Pathophysiology to Diagnosis and Complications—A Narrative Review. Accessed January 21, 2024 At: https://www.mdpi.com/2075-4418/13/3/432
- 3 Global WHO, Report TB; 2022. Accessed January 20, 2024 at: https://pib.gov.in/pib.gov.in/Pressreleaseshare.aspx?PRID=1871626
- 4 Statistics India TB. TB Facts. Accessed December 9, 2023 at: https://tbfacts.org/tb-statistics-india/
- 5 Mayosi BM. Contemporary trends in the epidemiology and management of cardiomyopathy and pericarditis in sub-Saharan Africa. Heart 2007; 93 (10) 1176-1183
- 6 López-López JP, Posada-Martínez EL, Saldarriaga C. et al Neglected tropical diseases, other infectious diseases affecting the heart (the NET-heart Project). . Tuberculosis and the heart. J Am Heart Assoc 2021; 10 (07) e019435
- 7 Clinical characteristics and initial management of patients with tuberculous pericarditis in the HIV era: the Investigation of the Management of Pericarditis in Africa (IMPI Africa) registry | BMC Infectious Diseases | Full Text. Accessed January 21, 2024 at: https://bmcinfectdis.biomedcentral.com/articles/10.1186/1471-2334-6-2
- 8 Yang CC, Lee MH, Liu JW, Leu HS. Diagnosis of tuberculous pericarditis and treatment without corticosteroids at a tertiary teaching hospital in Taiwan: a 14-year experience. J Microbiol Immunol Infect 2005; 38 (01) 47-52
- 9 Mayosi BM, Burgess LJ, Doubell AF. Tuberculous pericarditis. Circulation. 2005; Dec 6; 112 (23) 3608-16
- 10 Fowler NO. Tuberculous pericarditis. JAMA 1991; 266 (01) 99-103
- 11 Tuberculosis and the Heart. Accessed December 9, 2023 at: https://www.ahajournals.org/doi/pdf/10.1161/JAHA.120.019435
- 12 Metaxas EI, Kotsifas K, Tatsis G, Simpsiris P, Ntanos I, Tsoukalas G. Tuberculous pericarditis: three cases and brief review. Monaldi Arch Chest Dis 2010; 73 (01) 44-50
- 13 Napolitano G, Pressacco J, Paquet E. Imaging features of constrictive pericarditis: beyond pericardial thickening. Can Assoc Radiol J 2009; 60 (01) 40-46
- 14 Cosyns B, Plein S, Nihoyanopoulos P. et al; European Association of Cardiovascular Imaging (EACVI), European Society of Cardiology Working Group (ESC WG) on Myocardial and Pericardial diseases. European Association of Cardiovascular Imaging (EACVI) position paper: multimodality imaging in pericardial disease. Eur Heart J Cardiovasc Imaging 2015; 16 (01) 12-31
- 15 Çetin MS, Özcan Çetin EH, Özdemir M. et al. Effectiveness of computed tomography attenuation values in characterization of pericardial effusion. Anatol J Cardiol 2017; 17 (04) 322-327
- 16 Das KM, Mansoori TA, Alattar YH. et al. Tuberculosis of the heart: a diagnostic challenge. Tomography 2022; 8 (04) 1649-1665
- 17 Rosmini S, Seraphim A, Captur G. et al. 247 characterisation of pleural and pericardial effusions with T1 mapping. Eur Heart J Cardiovasc Imaging 2019; 20 (Suppl. 02) jez120
- 18 Vidalakis E, Kolentinis M, Gawor M, Vasquez M, Nagel E. CMR in pericardial diseases - an update. Curr Cardiovasc Imaging Rep 2020; 13 (04) 14
- 19 Chetrit M, Chahine J, Ramchand J. et al. Abstract 13990: will native T1-mapping of the pericardium replace late gadolinium enhancement?. Circulation 2019; 140 (Suppl. 01) A13990
- 20 Masui T, Finck S, Higgins CB. Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging. Radiology 1992; 182 (02) 369-373
- 21 Masui T, Finck S, Higgins CB. Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging. Radiology 1992; 182 (02) 369-373
- 22 Nishimura RA. Constrictive pericarditis in the modern era: a diagnostic dilemma. Heart 2001; 86 (06) 619-623
- 23 Conte E, Revaiah PC, Tan TC. Pericardial diseases: the emerging role for cardiac magnetic resonance imaging in the diagnosis of pericardial diseases. Eur Heart J Case Rep 2022; 6 (04) ytac164
- 24 Dixit R, Chowdhury V, Singh S. Case report: myocardial tuberculosis-MRI. Indian J Radiol Imaging 2009; 19 (01) 57-59
- 25 Jeilan M, Schmitt M, McCann G, Davies J, Leverment J, Chin D. Images in cardiovascular medicine. Cardiac tuberculoma. Circulation 2008; 117 (07) 984-986
- 26 Desai N, Desai S, Chaddha U, Gable B. Tuberculous myopericarditis: a rare presentation in an immunocompetent host. BMJ Case Rep 2013; 2013 (01) bcr2012007749-bcr2012007749
- 27 Hamedanchi and Daliri - 2009 - A Vanishing Cardiac Mass.pdf. Accessed January 20, 2024 at: https://www.jto.org/article/S1556-0864(15)30966-7/pdf
- 28 Wren C, Stovin PG. Isolated interventricular septal tuberculoma causing complete heart block. Thorax 1982; 37 (02) 149-150
- 29 Michira BN, Alkizim FO, Matheka DM. Patterns and clinical manifestations of tuberculous myocarditis: a systematic review of cases. Pan Afr Med J 2015; 21: 118
- 30 Rose AG. Cardiac tuberculosis. A study of 19 patients. Arch Pathol Lab Med 1987; 111 (05) 422-426
- 31 Cantinotti M, De Gaudio M, de Martino M. et al. Intracardiac left atrial tuberculoma in an eleven-month-old infant: case report. BMC Infect Dis 2011; 11 (01) 359
- 32 Hashmani S, Tipoo Sultan FA, Masood MQ. Unusual presentation of a young man with disseminated tuberculosis and right ventricular mass. BMJ Case Rep 2016; 2016: bcr2016216964
- 33 Gulati GS, Kothari SS. Diffuse infiltrative cardiac tuberculosis. Ann Pediatr Cardiol 2011; 4 (01) 87-89