Acute tuberculous myopericarditis mimicking acute myocardial infarction: A case report and literature review

Ren,Manyi; Zhang,Chunsheng; Zhang,Xiaojuan; Zhong,Jingquan

doi:10.3892/etm.2016.3187

Acute tuberculous myopericarditis mimicking acute myocardial infarction: A case report and literature review

Authors:
- Manyi Ren
- Chunsheng Zhang
- Xiaojuan Zhang
- Jingquan Zhong
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Affiliations: Department of Cardiology, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong 250014, P.R. China, Department of Cardiology, Shandong Provincial Chest Hospital, Jinan, Shandong 250013, P.R. China, Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Health, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P.R. China
Published online on: March 24, 2016 https://doi.org/10.3892/etm.2016.3187
Pages: 2373-2378

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Abstract

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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