Tuberculous myocarditis is not always fatal: Report of three confirmed cases with uneventful outcome

• Main Authors: Fares Al-Jahdali, Abdullah Al-Harbi, Salim Baharoon, Majed Al-Gamdi, Hamdan AL-Jahdali
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-01-01
• Series: International Journal of Mycobacteriology
• Subjects: Cardiomyopathy takotsubo cardiomyopathy; heart failure; myocarditis; tuberculosis
• Online Access: http://www.ijmyco.org/article.asp?issn=2212-5531;year=2017;volume=6;issue=1;spage=111;epage=115;aulast=Al-Jahdali

Tuberculosis (TB) is a leading cause of death worldwide. It can affect any organ. However, cardiac involvement is extremely rare. Anti-TB therapy has been proved to be effective and curative in majority of TB cases except TB myocarditis, where it is found to be fatal. We describe three cases with confirmed TB with impaired left ventricular systolic function and low ejection fraction. All three cases improved clinically and left ventricular function returned to normal within a few weeks after the commencement of TB therapy.