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Chapter 24 : Cardiovascular Tuberculosis

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Abstract:

Cardiovascular tuberculosis is an uncommon extrapulmonary manifestation of mycobacterial disease. With the advent of AIDS, which has increased the incidence of mycobacterial disease ( ), particularly of the extrapulmonary type ( ), one can expect an increase in cardiovascular tuberculosis. Nevertheless, cardiovascular tuberculosis is a rare complication of AIDS in the United States ( ). Pericardial tuberculosis is the disease presentation in the greatest percentage of patients with cardiovascular tuberculosis ( ). In the United States and other developed countries, most patients with AIDS and pericarditis with effusion have an idiopathic cause. However, in Africa, 86 to 100% of patients with AIDS and pericarditis with effusion have as the etiology ( ). Tuberculosis of the aorta ( ) and tuberculosis of the myocardium ( ) are reported but extremely unusual forms of cardiovascular tuberculosis.

Citation: Crocco J. 2017. Cardiovascular Tuberculosis, p 393-409. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819866.ch24
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Figure 1

Circumferential calcification of pericardium (arrows). Published with permission from http://learningradiology.com.

Citation: Crocco J. 2017. Cardiovascular Tuberculosis, p 393-409. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819866.ch24
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Image of Figure 2
Figure 2

Reconstructed three-dimensional 16-slice CT scan of heart showing pericardial calcification. Reprinted with permission from reference .

Citation: Crocco J. 2017. Cardiovascular Tuberculosis, p 393-409. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819866.ch24
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