Abstract
Tuberculosis, which is still endemic in some countries, and frequently seen in some patient groups including immunocompromised patients, especially with HIV, is associated with a group of important extrapulmonary involvement. The cardiovascular system is one of the involved sites, and some serious complications such as pericarditis, endocarditis, myocarditis, valvular or coronary involvement, arteritis, and aneurysms may be seen. Besides, it has been concluded in several studies that tuberculosis may have an important role in etiology and pathogenesis of Takayasu arteritis, atherosclerosis, and deep vein thrombosis.
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References
Aggarwal A, Chag M, Sinha N, Naik S. Takayasu’s arteritis: role of Mycobacterium tuberculosis and its 65 kDa heat shock protein. Int J Cardiol. 1996;55:49–55.
Alkhuja S, Miller A. Tuberculosis and sudden death: a case report and review. Heart Lung J Acute Crit Care. 2001;30:388–91. https://doi.org/10.1067/mhl.2001.118304.
Allins AD, Wagner WH, Cossman DV, et al. Tuberculous infection of the descending thoracic and abdominal aorta: case report and literature review. Ann Vasc Surg. 1999;13:439–44. https://doi.org/10.1007/s100169900280.
Amonkar G, Rupani A, Shah V, Parmar H. Sudden death in tuberculous myocarditis. Cardiovasc Pathol. 2009;18:247–8. https://doi.org/10.1016/j.carpath.2007.12.016.
Biedrzycki OJ, Baithun SI. TB-related sudden death (TBRSD) due to myocarditis complicating miliary TB. Am J Forensic Med Pathol. 2006;27:335–6. https://doi.org/10.1097/01.paf.0000233633.16185.32.
Castillo-Martínez D, Amezcua-Guerra LM. Self-reactivity against stress-induced cell molecules: the missing link between Takayasu’s arteritis and tuberculosis? Med Hypotheses. 2012;78:485–8. https://doi.org/10.1016/j.mehy.2012.01.012.
Cherian G. Diagnosis of tuberculous aetiology in pericardial effusions. Postgrad Med J. 2004;80:262–6.
Choudhary SK, Bhan A, Talwar S, et al. Tubercular pseudoaneurysms of aorta. Ann Thorac Surg. 2001;72:1239–44.
Cinar B, Enç Y, Göksel O, et al. Chronic constrictive tuberculous pericarditis: risk factors and outcome of pericardiectomy. Int J Tuberc Lung Dis. 2006;10:701–6.
Clough RE, Topple JA, Zayed HA, et al. Endovascular repair of a tuberculous mycotic thoracic aortic aneurysm with a custom-made device. J Vasc Surg. 2010;51:1272–5. https://doi.org/10.1016/j.jvs.2009.12.047.
Dentan C, Epaulard O, Seynaeve D, et al. Active tuberculosis and venous thromboembolism: association according to international classification of diseases, ninth revision hospital discharge diagnosis codes. Clin Infect Dis. 2014;58:495–501. https://doi.org/10.1093/cid/cit780.
Desai N, Desai S, Chaddha U, Gable B. Tuberculous myopericarditis: a rare presentation in an immunocompetent host. BMJ Case Rep. 2013;2013:bcr2012007749. https://doi.org/10.1136/bcr-2012-007749.
Díaz-Peromingo JA, Mariño-Callejo AI, González-González C, et al. Tuberculous myocarditis presenting as long QT syndrome. Eur J Intern Med. 2000;11:340–2.
Dogan S, Memis A, Kale A, Buket S. Endovascular stent graft placement in the treatment of ruptured tuberculous pseudoaneurysm of the descending thoracic aorta: case report and review of the literature. Cardiovasc Intervent Radiol. 2009;32:572–6. https://doi.org/10.1007/s00270-008-9456-8.
Golden MP, Vikram HR. Extrapulmonary tuberculosis: an overview. Am Fam Physician. 2005;72:1761–8.
Golzarian J, Cheng J, Giron F, Bilfinger TV. Tuberculous pseudoaneurysm of the descending thoracic aorta: successful treatment by surgical excision and primary repair. Tex Heart Inst J. 1999;26:232–5.
Guilford T, Morris D, Gray D, Venketaraman V. Atherosclerosis: pathogenesis and increased occurrence in individuals with HIV and Mycobacterium tuberculosis infection. HIV AIDS (Auckl). 2010;2:211–8. https://doi.org/10.2147/HIV.S11977.
Gupta MD, Yadav N, Palleda GM. Granulomatous tubercular myocarditis: a rare cause of heart failure in the young. Cardiol Young. 2013;23:740–1. https://doi.org/10.1017/S1047951113000723.
Huaman MA, Henson D, Ticona E, et al. Tuberculosis and cardiovascular disease: linking the epidemics. Trop Dis Travel Med Vaccines. 2015;1:10. https://doi.org/10.1186/s40794-015-0014-5.
Ikezawa T, Iwatsuka Y, Naiki K, et al. Tuberculous pseudoaneurysm of the descending thoracic aorta: a case report and literature review of surgically treated cases. J Vasc Surg. 1996;24:693–7.
Irdem A, Baspinar O, Kucukosmanoglu E. Dilated cardiomyopathy due to miliary tuberculosis. Anadolu Kardiyol Derg/Anatol J Cardiol. 2013;13:499–500. https://doi.org/10.5152/akd.2013.152.
Jain AK, Chauhan RS, Dhammi IK, et al. Tubercular pseudoaneurysm of aorta: a rare association with vertebral tuberculosis. Spine J. 2007;7:249–53. https://doi.org/10.1016/j.spinee.2006.04.021.
Kannangara DW, Salem FA, Rao BS, Thadepalli H. Cardiac tuberculosis: TB of the endocardium. Am J Med Sci. 1984;287:45–7.
Karadag O, Aksu K, Sahin A, et al. Assessment of latent tuberculosis infection in Takayasu arteritis with tuberculin skin test and Quantiferon-TB Gold test. Rheumatol Int. 2010;30:1483–7. https://doi.org/10.1007/s00296-010-1444-z.
Kechaou I, Cherif E, Ben Hassine L, Khalfallah N. Deep vein thrombosis and tuberculosis: a causative link? BMJ Case Rep. 2014;2014:bcr2013200807. https://doi.org/10.1136/bcr-2013-200807.
Khemiri M, Douira W, Barsaoui S. Co-occurrence of Takayasu’s arteritis and tuberculosis: report of a Tunisian pediatric case. Ann Pediatr Cardiol. 2016;9:75–8. https://doi.org/10.4103/0974-2069.171398.
Khurana R, Shalhoub J, Verma A, et al. Tubercular myocarditis presenting with ventricular tachycardia. Nat Clin Pract Cardiovasc Med. 2008;5:169–74. https://doi.org/10.1038/ncpcardio1111.
Kolhari VB, Bhairappa S, Prasad NM, Manjunath CN. Tuberculosis: still an enigma. Presenting as mycotic aneurysm of aorta. BMJ Case Rep. 2013;2013. https://doi.org/10.1136/bcr-2013-008869.
Kothari SS. Aetiopathogenesis of Takayasu’s arteritis and BCG vaccination: the missing link? Med Hypotheses. 1995;45:227–30.
Kouchoukos NT, Blackstone EH, Doty DB, et al. Pericardial disease. In: Kirklin/Barrat-Boyes cardiac surgery. 3rd ed. Philadelphia: Churchill Livingstone; 2003. p. 1779–95.
Kumarihamy K, Ralapanawa D, Jayalath W. A rare complication of pulmonary tuberculosis: a case report. BMC Res Notes. 2015;8:39. https://doi.org/10.1186/s13104-015-0990-6.
Li F-P, Wang X-F, Xiao Y-B. Endovascular stent graft placement in the treatment of a ruptured tuberculous pseudoaneurysm of the descending thoracic aorta secondary to Pott’s disease of the spine. J Card Surg. 2012;27:75–7. https://doi.org/10.1111/j.1540-8191.2011.01343.x.
Li H, Li R, Qu J, et al. Ventricular tachycardia in a disseminated MDR-TB patient: a case report and brief review of literature. Front Med. 2014;8:259–63. https://doi.org/10.1007/s11684-014-0321-7.
Lim AY, Lee GY, Jang SY, et al. Comparison of clinical characteristics in patients with Takayasu arteritis with and without concomitant tuberculosis. Heart Vessel. 2016;31:1277–84. https://doi.org/10.1007/s00380-015-0731-8.
Liu A, Hu Y, Coates A. Sudden cardiac death and tuberculosis – How much do we know? Tuberculosis. 2012;92:307–13. https://doi.org/10.1016/j.tube.2012.02.002.
Long R, Guzman R, Greenberg H, et al. Tuberculous mycotic aneurysm of the aorta: review of published medical and surgical experience. Chest. 1999;115:522–31.
Maisch B, Soler-Soler J, Hatle L, Ristic AD. Pericardial diseases. In: Camm AJ, Lüscher TF, Serruys P, editors. The ESC textbook of cardiovascular medicine. Blackwell Publishing; 2006. p. 517–34. Massachusetts, USA.
Mangi AA, Torchiana DF. Pericardial disease. In: Cohn LH, editor. Cardiac surgery in the adult. 3rd ed. New York: McGraw-Hill; 2008. p. 1465–78.
Manika K, Efthymiou C, Damianidis G, et al. Miliary tuberculosis in a patient with tuberculous mycotic aneurysm of the abdominal aorta: case report and review of the literature. Respir Med Case Rep. 2017;21:30–5. https://doi.org/10.1016/j.rmcr.2017.03.010.
Mayosi BM, Burgess LJ, Doubell AF. Tuberculous pericarditis. Circulation. 2005;112:3608–16. https://doi.org/10.1161/CIRCULATIONAHA.105.543066.
Michira BN, Alkizim FO, Matheka DM. Patterns and clinical manifestations of tuberculous myocarditis: a systematic review of cases. Pan Afr Med J. 2015;21:118. https://doi.org/10.11604/pamj.2015.21.118.4282.
Mohan A, Thachil A, Sundar G, et al. Ventricular tachycardia and tuberculous lymphadenopathy: Sign of myocardial tuberculosis? J Am Coll Cardiol. 2015;65:218–20.
Mutyaba AK, Ntsekhe M. Tuberculosis and the heart. Cardiol Clin. 2017;35:135–44. https://doi.org/10.1016/j.ccl.2016.08.007.
Nezami N, Ghorbanihaghjo A, Rashtchizadeh N, et al. Atherogenic changes of low-density lipoprotein susceptibility to oxidation, and antioxidant enzymes in pulmonary tuberculosis. Atherosclerosis. 2011;217:268–73. https://doi.org/10.1016/j.atherosclerosis.2011.03.025.
Ntsekhe M, Wiysonge CS, Commerford PJ, Mayosi BM. The prevalence and outcome of effusive constrictive pericarditis: a systematic review of the literature. Cardiovasc J Afr. 2012;23:281–5. https://doi.org/10.5830/CVJA-2011-072.
Ohtsuka T, Kotsuka Y, Yagyu K, et al. Tuberculous pseudoaneurysm of the thoracic aorta. Ann Thorac Surg. 1996;62:1831–4.
Palaniswamy C, Kumar U, Selvaraj DR, et al. Tuberculous mycotic aneurysm of aortic root: an unusual cause of cardiac tamponade. Trop Dr. 2009;39:112–3. https://doi.org/10.1258/td.2008.080199.
Parkhurst GF, Dekcer JP. Bacterial aortitis and mycotic aneurysm of the aorta; a report of twelve cases. Am J Pathol. 1955;31:821–35.
Pathirana U, Kularatne S, Karunaratne S, et al. Ascending aortic aneurysm caused by Mycobacterium tuberculosis. BMC Res Notes. 2015;8:659. https://doi.org/10.1186/s13104-015-1667-x.
Rajesh S, Sricharan KN, Jayaprakash K, Monteiro FNP. Cardiac involvement in patients with pulmonary tuberculosis. J Clin Diagn Res. 2011;5:440–2.
Reuter H, Burgess L, van Vuuren W, Doubell A. Diagnosing tuberculous pericarditis. QJM. 2006;99:827–39. https://doi.org/10.1093/qjmed/hcl123.
Rota S, Rota S. Mycobacterium tuberculosis complex in atherosclerosis. Acta Med Okayama. 2005;59:247–51.
Roubille F, Gahide G, Granier M, et al. Likely tuberculous myocarditis mimicking an acute coronary syndrome. Intern Med. 2008;47:1699–701.
Silingardi E, Rivasi F, Santunione AL, Garagnani L. Sudden death from tubercular myocarditis. J Forensic Sci. 2006;51:667–9. https://doi.org/10.1111/j.1556-4029.2006.00117.x.
Soto ME, Del Carmen Ávila-Casado M, Huesca-Gómez C, et al. Detection of IS6110 and HupB gene sequences of Mycobacterium tuberculosis and bovisin the aortic tissue of patients with Takayasu’s arteritis. BMC Infect Dis. 2012;12:194. https://doi.org/10.1186/1471-2334-12-194.
Soto ME, Vargas-Alarcón G, Cicero-Sabido R, et al. Comparison distribution of HLA-B alleles in Mexican patients with Takayasu arteritis and tuberculosis. Hum Immunol. 2007;68:449–53. https://doi.org/10.1016/j.humimm.2007.01.004.
Trautner BW, Darouiche RO. Tuberculous pericarditis: optimal diagnosis and management. Clin Infect Dis. 2001;33:954–61. https://doi.org/10.1086/322621.
Vaideeswar P, Deshpande JR. Pathology of Takayasu arteritis: a brief review. Ann Pediatr Cardiol. 2013;6:52–8. https://doi.org/10.4103/0974-2069.107235.
Walters HM, Aguiar CL, MacDermott EJ, et al. Takayasu arteritis presenting in the context of active tuberculosis. J Clin Rheumatol. 2013;19:344–7. https://doi.org/10.1097/RHU.0b013e31829ce750.
Zhang C, Chen B, Gu Y, et al. Tuberculous abdominal aortic pseudoaneurysm with renal and vertebral tuberculosis: a case and literature review. J Infect Dev Ctries. 2014;8:1216–21.
Zhang Y, Xiong Q, Hu X, et al. A novel atherogenic epitope from Mycobacterium tuberculosis heat shock protein 65 enhances atherosclerosis in rabbit and LDL receptor-deficient mice. Heart Vessel. 2012;27:411–8. https://doi.org/10.1007/s00380-011-0183-8.
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Aşgün, H.F., Kırılmaz, B. (2019). Cardiovascular Tuberculosis. In: Sener, A., Erdem, H. (eds) Extrapulmonary Tuberculosis. Springer, Cham. https://doi.org/10.1007/978-3-030-04744-3_12
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