Partial recovery of left ventricular function in dilated cardiomyopathy as a result of tuberculosis treatment (RCD code: III‐1B.9.o)

Antoni Zdzisław Wileczek, Małgorzata Trawińska, Sebastian Stec

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Abstract


We present the case of a young patient with dilated cardiomyopathy (DCM) and concomitant pulmonary tuberculosis (TB), emphasising the need for an interdisciplinary approach when considering underlying aetiology. A 36‐year‐old male was admitted to the hospital due to signs of acute heart failure (HF). After diagnostic work‐up, which included laboratory examination, echocardiography, and coronary
angiography, a diagnosis of DCM was established and therapy was initiated. Despite optimal medical therapy for HF, the patient’s condition did not improve. During further diagnostic workup, pulmonary tuberculosis was identified. A significant reduction in HF signs and symptoms and improvement in left ventricular ejection fraction occurred only after TB was treated with 6 months of therapy. The presented case study illustrates the necessity to perform a complete diagnostic workup to identify reversible causes of DCM. JRCD 2019;
4 (2): xx–xx



Keywords


rare diseases; heart failure; echocardiography; multimodality imaging; cardiopulmonary exercise test

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DOI: http://dx.doi.org/10.20418%2Fjrcd.vol4no2.371

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