Key result
A 21-year-old male with acute tuberculous myopericarditis mimicking acute myocardial infarction successfully recovered following 12 months of antituberculosis therapy and supportive care.
Case Report (n=1)
This case highlights the importance of detailed medical history and comprehensive imaging and ECG evaluation to differentiate acute tuberculous myopericarditis from acute myocardial infarction.
Consider tuberculous myopericarditis in young patients with MI-like presentations in endemic areas; this case leaves open the need for validated diagnostic algorithms.
A number of cases of acute myopericarditis mimicking acute myocardial infarction (AMI) have previously been reported in the literature. However, to the best of our knowledge, such a case resulting from Mycobacterium tuberculosis infection has not previously been described. The present study reports the case of a 21‑year‑old male patient presenting with acute chest pain, in whom focal ST‑segment elevation and elevated cardiac enzymes mimicked a diagnosis of AMI. However, acute tuberculous myopericarditis was diagnosed on the basis of a variety of imaging examinations, laboratory tests, as well as the changes observed in electrocardiograms (ECGs) and in the cardiac enzyme levels. The case highlights the importance of a detailed collection of medical history, comprehensive explanations of serial ECGs, thoracic computed tomography, echocardiogram and coronary angiography in the diagnosis and differentiation of acute tuberculous myopericarditis mimicking AMI.
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Ren et al. (2016) conducted a case report in Acute tuberculous myopericarditis (n=1). Antituberculosis therapy and supportive care was evaluated on Clinical recovery and resolution of ECG/imaging abnormalities. A 21-year-old male with acute tuberculous myopericarditis mimicking acute myocardial infarction successfully recovered following 12 months of antituberculosis therapy and supportive care.
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