title: Tuberculous endocarditis: valvular and right atrial involvement.
abstract: Valvular endocarditis due to Mycobacterium tuberculosis is a rare clinical entity. It is usually manifest in the context of disseminated tuberculosis in immunocompromised patients. This report describes a unique case of a 30-year-old immunocompetent man with an incidental finding of tuberculous valvular endocarditis. The patient had a large mass on the anterior mitral leaflet and severe mitral regurgitation. He underwent mitral valve replacement and Mycobacterium tuberculosis was cultured from the valve vegetation and the right atrial masses. Post-operative recovery has been uneventful without relapse for 24 months.
authors.affiliation: Section of Cardiology, Aga Khan University Hospital, Karachi, Pakistan.
authors.forename: Fateh Ali Tipoo
authors.initials: FA
authors.lastname: Sultan
authors.forename: Saulat
authors.initials: S
authors.lastname: Fatimi
authors.forename: Bushra
authors.initials: B
authors.lastname: Jamil
authors.forename: Sherif E
authors.initials: SE
authors.lastname: Moustafa
authors.forename: Farouk
authors.initials: F
authors.lastname: Mookadam
mesh_terms: D000328:Adult; D004697:Endocarditis, Bacterial / Q000382:microbiology*; D006325:Heart Atria / Q000382:microbiology*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008943:Mitral Valve / Q000382:microbiology* / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000382:microbiology* / Q000601:surgery; D009169:Mycobacterium tuberculosis; D014381:Tuberculosis, Cardiovascular / Q000382:microbiology* / Q000601:surgery