Key result
Anti-tubercular treatment for one year resulted in the successful clinical recovery of a 75-year-old male who presented with miliary tuberculosis following unstable angina and cardiac stent placement.
Why the study?
Increasing global travel necessitates considering travel history and conditions like miliary tuberculosis in differential diagnoses, including as a possible presenting cause of angina.
Case Report (n=1)
Miliary tuberculosis should be considered in the differential diagnosis for patients presenting with cardiac arrhythmias or unstable angina, especially those with a recent travel history to endemic areas.
Answers are grounded in this paper and cite their sources.
Emphasizes travel history in post-travel cardiac evaluations; extends miliary TB differential but leaves generalizability open.
The novel Coronavirus of 2019 (COVID-19) has dramatically reminded the world of the importance of noting pertinent travel history. Increasing global travel and immigration require physicians to include travel history when considering their differential diagnoses. In this report, we present a 75-year-old male diagnosed with Miliary Tuberculosis (TB) after returning from vacation in Mexico. During his vacation, he had symptoms attributed to unstable angina and underwent a cardiac catheterization requiring the placement of a drug eluting stent. This case report discusses angina as a possible presenting symptom of Miliary TB. Cardiac arrhythmia is a known risk of TB and it should be suspected in patients with arrhythmias with a recent travel history, as it is estimated that 1% of all cases of TB have cardiac involvement. Ultimately, with the aging of the population and our increasing mobile population, Miliary TB must be considered more frequently in our differentials in the developed world due to the aging of the population and increased ease of international travel.
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Moten et al. (2020) conducted a case report in Miliary Tuberculosis (n=1). Anti-tubercular treatment was evaluated on Clinical recovery. Anti-tubercular treatment for one year resulted in the successful clinical recovery of a 75-year-old male who presented with miliary tuberculosis following unstable angina and cardiac stent placement.
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