Tuberculosis of the Heart: A Diagnostic Challenge
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College of Medicine and Health Sciences, United Arab Emirates University, Sheikh Khalifa Bin Zayed Street, Asharej, Al Ain P.O. Box 17666, United Arab Emirates
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Sheikh Khalifa Medical City, Abu Dhabi P.O. Box 51900, United Arab Emirates
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Tawam Hospital, Al Maqam, Tawam, Abu Dhabi P.O. Box 15258, United Arab Emirates
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Department of Data Science, MAHE, Manipal 576104, Karnataka, India
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Author to whom correspondence should be addressed.
Academic Editor: Emilio Quaia
Tomography 2022, 8(4), 1649-1665; https://doi.org/10.3390/tomography8040137
Received: 12 April 2022
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Revised: 1 June 2022
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Accepted: 1 June 2022
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Published: 22 June 2022
Tuberculosis of the heart is relatively rare and presents a significant diagnostic difficulty for physicians. It is the leading cause of death from infectious illness. It is one of the top 10 leading causes of death worldwide, with a disproportionate impact in low- and middle-income nations. The radiologist plays a pivotal role as CMR is a non-invasive radiological method that can aid in identifying potential overlap and differential diagnosis between tuberculosis, mass lesions, pericarditis, and myocarditis. Regardless of similarities or overlap in observations, the combination of clinical and certain particular radiological features, which are also detected by comparison to earlier and follow-up CMR scans, may aid in the differential diagnosis. CMR offers a significant advantage over echocardiography for detecting, characterizing, and assessing cardiovascular abnormalities. In conjunction with clinical presentation, knowledge of LGE, feature tracking, and parametric imaging in CMR may help in the early detection of tuberculous myopericarditis and serve as a surrogate for endomyocardial biopsy resulting in a quicker diagnosis and therapy. This article aims to explain the current state of cardiac tuberculosis, the diagnostic utility of CMR in tuberculosis (TB) patients, and offer an overview of the various imaging and laboratory procedures used to detect cardiac tuberculosis.
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Keywords:
tuberculous myopericarditis; magnetic resonance imaging; transmural mesocardial and epicardial fat late enhancement; irregular thickening of pericardium
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MDPI and ACS Style
Das, K.M.; Mansoori, T.A.; Alattar, Y.H.; Gorkom, K.V.; Shamisi, A.; Melethil, A.P.; Alkoteesh, J.A. Tuberculosis of the Heart: A Diagnostic Challenge. Tomography 2022, 8, 1649-1665. https://doi.org/10.3390/tomography8040137
AMA Style
Das KM, Mansoori TA, Alattar YH, Gorkom KV, Shamisi A, Melethil AP, Alkoteesh JA. Tuberculosis of the Heart: A Diagnostic Challenge. Tomography. 2022; 8(4):1649-1665. https://doi.org/10.3390/tomography8040137
Chicago/Turabian StyleDas, Karuna M., Taleb A. Mansoori, Yousef H. Alattar, Klaus V. Gorkom, Ali Shamisi, Anisha P. Melethil, and Jamal A. Alkoteesh. 2022. "Tuberculosis of the Heart: A Diagnostic Challenge" Tomography 8, no. 4: 1649-1665. https://doi.org/10.3390/tomography8040137
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