Isolated right atrium tuberculoma causing complete heart block

Myocardial tuberculosis was rare even in the era before effective anti-tuberculous chemotherapy was available. It is becoming even rarer with improved anti-tuberculous treatment. It was usually an incidental finding during necropsy. In a case series reported by Custer and Charr, 1 they reviewed more...

Full description

Bibliographic Details
Main Authors: Ngow, Harris Abdullah, Wan Khairina, Wan Mohd Nowalid
Format: Article
Language:English
Published: BMJ Group 2010
Subjects:
Online Access:http://irep.iium.edu.my/5144/
http://irep.iium.edu.my/5144/1/Isolated_right_atrium_tuberculoma.pdf
_version_ 1848776450031747072
author Ngow, Harris Abdullah
Wan Khairina, Wan Mohd Nowalid
author_facet Ngow, Harris Abdullah
Wan Khairina, Wan Mohd Nowalid
author_sort Ngow, Harris Abdullah
building IIUM Repository
collection Online Access
description Myocardial tuberculosis was rare even in the era before effective anti-tuberculous chemotherapy was available. It is becoming even rarer with improved anti-tuberculous treatment. It was usually an incidental finding during necropsy. In a case series reported by Custer and Charr, 1 they reviewed more than 14 000 deaths due to tuberculosis and found only 64 cases (0.5%) of tuberculosis involving the heart. In most cases the infection is either part of miliary tuberculosis or an extension of pericardial involvement. In the absence of these, it is presumed to be due to haematogenous or lymphatic dissemination.2 There is almost always a tuberculous focus elsewhere in the body; single isolated tuberculoma are very rare indeed. Complete heart block as a complication of myocardial tuberculosis has been described only rarely in medical literature. Thus far, only a limited number of cases have been reported, 3–7 and none of these was due to a tuberculoma in the right atrium.
first_indexed 2025-11-14T14:30:17Z
format Article
id iium-5144
institution International Islamic University Malaysia
institution_category Local University
language English
last_indexed 2025-11-14T14:30:17Z
publishDate 2010
publisher BMJ Group
recordtype eprints
repository_type Digital Repository
spelling iium-51442012-02-23T07:55:40Z http://irep.iium.edu.my/5144/ Isolated right atrium tuberculoma causing complete heart block Ngow, Harris Abdullah Wan Khairina, Wan Mohd Nowalid RC Internal medicine Myocardial tuberculosis was rare even in the era before effective anti-tuberculous chemotherapy was available. It is becoming even rarer with improved anti-tuberculous treatment. It was usually an incidental finding during necropsy. In a case series reported by Custer and Charr, 1 they reviewed more than 14 000 deaths due to tuberculosis and found only 64 cases (0.5%) of tuberculosis involving the heart. In most cases the infection is either part of miliary tuberculosis or an extension of pericardial involvement. In the absence of these, it is presumed to be due to haematogenous or lymphatic dissemination.2 There is almost always a tuberculous focus elsewhere in the body; single isolated tuberculoma are very rare indeed. Complete heart block as a complication of myocardial tuberculosis has been described only rarely in medical literature. Thus far, only a limited number of cases have been reported, 3–7 and none of these was due to a tuberculoma in the right atrium. BMJ Group 2010-10 Article PeerReviewed application/pdf en http://irep.iium.edu.my/5144/1/Isolated_right_atrium_tuberculoma.pdf Ngow, Harris Abdullah and Wan Khairina, Wan Mohd Nowalid (2010) Isolated right atrium tuberculoma causing complete heart block. Postgraduate Medical Journal, 86 (1020). pp. 624-6. ISSN 1469-0756 (online) http://pmj.bmj.com/site/about/index.xhtml DOI:10.1136/pgmj.2010.102236
spellingShingle RC Internal medicine
Ngow, Harris Abdullah
Wan Khairina, Wan Mohd Nowalid
Isolated right atrium tuberculoma causing complete heart block
title Isolated right atrium tuberculoma causing complete heart block
title_full Isolated right atrium tuberculoma causing complete heart block
title_fullStr Isolated right atrium tuberculoma causing complete heart block
title_full_unstemmed Isolated right atrium tuberculoma causing complete heart block
title_short Isolated right atrium tuberculoma causing complete heart block
title_sort isolated right atrium tuberculoma causing complete heart block
topic RC Internal medicine
url http://irep.iium.edu.my/5144/
http://irep.iium.edu.my/5144/
http://irep.iium.edu.my/5144/
http://irep.iium.edu.my/5144/1/Isolated_right_atrium_tuberculoma.pdf