Two cases of culture proven Mycobacterium tuberculosis presenting with a broad-complex tachycardia and non-caseating granulomas.
Author(s)
Farah, Z
Beasley, VE
Berry, M
Coker, RK
Kon, OM
Type
Journal Article
Abstract
Tuberculosis is a leading cause of death worldwide. It affects pulmonary and extra-pulmonary sites with a multitude of differing presentations. In this report, we describe two cases in which TB causes myopericarditis and presents with a broad-complex tachycardia that did not respond typically to standard anti-arrhythmic therapy; a very rare presentation with limited description in the literature. Both patients required extensive investigation culminating in identifying lymph nodes amenable to biopsy under endobronchial ultrasound guidance. It was not until both patients received anti-tuberculous chemotherapy alongside anti-arrhythmic management that any improvement to their condition was witnessed. Therefore, we recommend that the clinician should have a high index of suspicion for TB in any patient presenting with a broad-complex tachycardia that is not responding to standard first line management, especially if the patient is from a high risk background. We recommend an active diagnostic pursuit, and lymph node biopsy under endobronchial ultrasound guidance.
Date Issued
2018-01-01
Date Acceptance
2014-01-01
Citation
Respiratory Medicine Case Reports, 2018, 12, pp.41-43
ISSN
2213-0071
Publisher
Elsevier
Start Page
41
End Page
43
Journal / Book Title
Respiratory Medicine Case Reports
Volume
12
Copyright Statement
© 2013 The Authors. Published by Elsevier Ltd. Open access under CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/3.0/).
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/26029538
PII: S2213-0071(13)00041-5
Subjects
Arrhythmias
Cardiology arrhythmia-therapy
Endobronchial ultrasound
Tuberculosis
Publication Status
Published
Coverage Spatial
England