Abstract
IntroductionTuberculous coronaritis is known to be a very rare phenomenon, although Mycobacterium tuberculosis, as some other infectious agents, may also act in the coronary vessels by activating the inflammatory mechanism of atherosclerosis. The association between active pulmonary tuberculosis and acute myocardial infarction has not been reported for around three and a half decades.Case presentationWe presented here a case of a young, 30 year old, Caucasian woman who presented to Emergency Ward with severe chest pain, ECG and enzyme profile typical for acute myocardial infarction. Chest X-ray displayed high intensity shades in the left lung field, which after additional laboratory tests were shown to be due to active pulmonary tuberculosis.ConclusionAs the patient did not have any other known coronary artery disease risk factors, we held responsible Mycobacterium tuberculosis for occurrence of acute myocardial infarction in this young female patient. We believe that the presentation of this rare case of myocardial infarction in a patient with active pulmonary tuberculosis should encourage researchers to investigate the potential role of Mycobacterium tuberculosis in pathogenesis of coronary heart disease.
Highlights
Tuberculous coronaritis is known to be a very rare phenomenon, Mycobacterium tuberculosis, as some other infectious agents, may act in the coronary vessels by activating the inflammatory mechanism of atherosclerosis
We believe that the presentation of this rare case of myocardial infarction in a patient with active pulmonary tuberculosis should encourage researchers to investigate the potential role of Mycobacterium tuberculosis in pathogenesis of coronary heart disease
We describe here a case of a young woman presenting with acute onset of chest pain, ST elevation on ECG, elevated cardiac enzymes and active pulmonary tuberculosis
Summary
Mycobacterium tuberculosis may be involved in the occurrence of myocardial infarction in this young female patient, without any known coronary artery disease risk factors. Our message is that tuberculosis as a possible cause of coronary heart disease should not be forgotten, given that in some parts of the world tuberculosis is not part of history yet. Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal
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