title: [Myocardial localisation of tuberculosis: the diagnostic value of cardiac MRI].
abstract: BACKGROUND
  Tuberculosis can be responsible for myocardial damage, the frequency of which is probably underestimated because of the difficulty in its diagnosis. We studied the contribution of cardiac magnetic resonance imaging (MRI) in three patients.
  
  
  METHODS
  Three patients were treated for disseminated tuberculosis. They had moderate cardiac abnormalities (tachycardia, dyspnoea on effort). The electrocardiogram was normal in 2 patients and the echocardiography showed localized hyperkinesias. Cardiac MRI revealed intra-myocardial nodular gadolinium enhancement and hyperkinesias. The clinical outcome in the 3 patients was favourable following anti-tuberculosis therapy; one patient was also administered corticosteroids.
  
  
  CONCLUSIONS
  Cardiac MRI is a non-invasive examination that brought important arguments for the diagnosis of tubercular myocarditis in the 3 patients.
authors.affiliation: Service des maladies infectieuses et tropicales, Hôpital Bichat-Claude Bernard, 46, rue Henri Huchard, 75018 Paris, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Breton
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Leclerc
authors.forename: Pascale
authors.initials: P
authors.lastname: Longuet
authors.forename: Catherine
authors.initials: C
authors.lastname: Leport
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Vildé
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Laissy
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001769:Blood / Q000382:microbiology; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D016896:Treatment Outcome; D014381:Tuberculosis, Cardiovascular / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014556:Urine / Q000382:microbiology
chemical_list: D000305:Adrenal Cortex Hormones; D000995:Antitubercular Agents