title: Right atrial tuberculoma: a diagnosis too late.
abstract: Solitary intra-cardiac cavity tuberculoma is extremely rare and often only diagnosed during a post-mortem. We report a case of right atrial tuberculoma causing right atrial outflow tract obstruction in an immune-compromised man. The diagnosis of cardiac tuberculoma was made through the detection of mycobacterium tuberculosis DNA by tuberculosis-polymerase chain reaction in the pericardial fluid. The patient succumbed five days after admission but an autopsy was refused by his family.
authors.affiliation: International Islamic University Malaysia, Internal Medicine Department, Kuantan, Malaysia. harrisngow@gmail.com
authors.forename: Harris A
authors.initials: HA
authors.lastname: Ngow
authors.forename: W M N Wan
authors.initials: WM
authors.lastname: Khairina
mesh_terms: D000328:Adult; D004269:DNA, Bacterial / Q000032:analysis; D017809:Fatal Outcome; D006325:Heart Atria / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D009169:Mycobacterium tuberculosis / Q000235:genetics / Q000302:isolation & purification*; D010996:Pleural Effusion / Q000382:microbiology; D016133:Polymerase Chain Reaction; D014375:Tuberculoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000276:immunology / Q000382:microbiology; D014381:Tuberculosis, Cardiovascular / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000276:immunology / Q000382:microbiology; D014463:Ultrasonography
chemical_list: D004269:DNA, Bacterial