title: Endocardial tuberculosis.
abstract: We report a 30-year-old male patient with persistent fever, history of stroke, and a left atrial mass. He was diagnosed as miliary pulmonary tuberculosis radiologically and had fever despite 2 months of antitubercular treatment. The mass was excised and fever resolved. Acid fast bacilli (AFB) were demonstrable on Ziehl Neelsen stain and routine histopathology. To the best of our knowledge, the visualization of AFB from an intracardiac lesion on ZN staining has not been reported earlier and tuberculosis must be considered in the differential diagnosis of left atrial masses.
authors.affiliation: Department of Cardiothoracic Surgery, St. John's Medical College Hospital, Bangalore, India.
authors.forename: Pranav
authors.initials: P
authors.lastname: Kandachar
authors.affiliation: Department of General Surgery, St. John's Medical College Hospital, Bangalore, India.
authors.forename: Devajyoti
authors.initials: D
authors.lastname: Guin
authors.affiliation: Department of Pathology, St. John's Medical College Hospital, Bangalore, India.
authors.forename: Suravi
authors.initials: S
authors.lastname: Mohanty
authors.affiliation: Department of Radiodiagnosis, St. John's Medical College Hospital, Bangalore, India.
authors.forename: Namita
authors.initials: N
authors.lastname: Sinha
authors.affiliation: Department of Medicine, St. John's Medical College Hospital, Bangalore, India.
authors.forename: Mary
authors.initials: M
authors.lastname: George
authors.affiliation: Department of Microbiology, St. John's Medical College Hospital, Bangalore, India.
authors.forename: Savitha
authors.initials: S
authors.lastname: Nagaraj
authors.affiliation: Department of Medicine, St. John's Medical College Hospital, Bangalore, India.
authors.forename: Saba
authors.initials: S
authors.lastname: Fathima
authors.affiliation: Department of Cardiothoracic Surgery, St. John's Medical College Hospital, Bangalore, India. Electronic address: navinlal111@gmail.com.
authors.forename: Navin
authors.initials: N
authors.lastname: Lal
mesh_terms: D000328:Adult; D009202:Cardiomyopathies / Q000175:diagnosis / Q000473:pathology*; D004699:Endocardium / Q000473:pathology*; D006801:Humans; D008297:Male; D014381:Tuberculosis, Cardiovascular / Q000175:diagnosis / Q000473:pathology*