title: Acute Myocardial Infarction in a Young Man with Hyperhomocysteinemia and Pulmonary Tuberculosis.
abstract: Acute myocardial infarction, hyperhomocysteinemia and pulmonary tuberculosis (PTB) are rare in individuals under the age of 30 years. We herein report the case of a 27-year-old man who presented with intermittent chest pain, elevated homosysteine level, and PTB. The patient was treated successfully with a combination of medications and percutaneous coronary intervention. This uncommon case highlights that homocysteine, folate and B vitamins levels should be regularly evaluated, and that chest X-rays or thoracic computed tomography should be ordered routinely to exclude PTB in patients under the age of 30 years who present acute myocardial infarction and lack the traditional risk factors.
authors.affiliation: Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Health, Department of Cardiology, Qilu Hospital of Shandong University, China.
authors.forename: Man-Yi
authors.initials: MY
authors.lastname: Ren
authors.forename: Chun-Sheng
authors.initials: CS
authors.lastname: Zhang
authors.forename: Xiao-Juan
authors.initials: XJ
authors.lastname: Zhang
authors.forename: Jing-Quan
authors.initials: JQ
authors.lastname: Zhong
mesh_terms: D000208:Acute Disease; D000328:Adult; D002637:Chest Pain / Q000188:drug therapy; D005492:Folic Acid / Q000097:blood; D006710:Homocysteine / Q000097:blood; D006801:Humans; D020138:Hyperhomocysteinemia / Q000097:blood / Q000150:complications*; D008297:Male; D009203:Myocardial Infarction / Q000097:blood / Q000150:complications* / Q000209:etiology; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects; D012307:Risk Factors; D014397:Tuberculosis, Pulmonary / Q000150:complications*; D014803:Vitamin B Complex / Q000097:blood
chemical_list: D006710:Homocysteine; D014803:Vitamin B Complex; D005492:Folic Acid