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(Circulation. 1998;98:730.)
© 1998 American Heart Association, Inc.

Images in Cardiovascular Medicine

Cardiac Tuberculosis

Sanjay C. Dhar, MD, MRCP; Sean Hayes, MD; Bojan Cercek, MD; ; Michael C. Fishbein, MD, MACP

A 63-year-old man was admitted with a history suggestive of worsening heart failure over a duration of 6 months, recurrent ventricular tachyarrhythmias, poor response to medical treatment, and low-grade fever.

View larger version (111K): [in this window] [in a new window]   Figure 1. a, Chest radiograph revealed right-sided pleural effusion, cardiomegaly, and borderline perihilar edema. b, CT scan of chest confirmed right-sided pleural effusion and also revealed pericardial effusion and pericardial thickening. c, Cross section of heart shows thickened pericardium. d, Close examination of apical myocardium (arrows) revealed myocardial tubercles. e, Higher magnification confirmed presence of granulomas (arrowhead) with giant cells and positive staining for acid-fast bacilli, not seen in this slide.

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