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FDG-PET in a myocardial tuberculoma

Abstract : An 88-year-old woman was admitted for syncope andbradycardia. She complained of recent fatigue and weightloss. After insertion of a pacemaker device, the clinicalcourse was complicated by fever and a seizure. Eventually,we found that a multivisceral culture-positive tuberculousreactivation was likely to account for these symptoms.Radiological workup including 18-fluorodeoxyglucose-positron emission tomography (FDG-PET) yielded amyocardial tuberculoma (Figure1). Myocardial involve-ment is rare compared with the classical pericarditis indisseminated tuberculosis [1], but it may have specific pre-sentations like syncope, palpitations or cardiac failure. Todiagnose disseminated tuberculosis, FDG-PET can beuseful when culture or histopathology is difficult orimpossible [2]. It is a promising technique for therapeuticmonitoring, as it may guide early interventions [3]. Thepatient was treated medically with antituberculous therapyfor 12 months. She was alive 24 months later and the onlysequela was a complete atrioventricular block
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Soumis le : lundi 9 avril 2018 - 15:39:47
Dernière modification le : mardi 15 mars 2022 - 09:32:56

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P. Braquet, G. Baptista, D. Ilonca, François Roubille, V. Le Moing, et al.. FDG-PET in a myocardial tuberculoma. Age and Ageing, Oxford University Press (OUP), 2014, 44 (1), pp.173 - 174. ⟨10.1093/ageing/afu147⟩. ⟨hal-01761984⟩

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