Tuberculosis can involve any part of the body and cardiac tuberculosis is a rare manifestation. But among endemic nations including India it has been reported significantly. It is a prominent etiology of pericarditis, cardiac tamponade and sudden cardiac death. Tuberculosis can affect the heart in individuals without pre-existing cardiac disease. Pericardial involvement is most commonly reported in India. Tuberculosis of the myocardium and endocarditis are relatively rare.
Tuberculous involvement of the major vessels has also been reported. A pro-arthrogenic effect of tuberculosis has also been reviewed in literature. Tuberculosis of the heart can be the result of Contiguous spread from mediastinal lymph nodes. Haematogenous spread from primary tuberculous foci in milliary tuberculosis. Lymphatic spread from peritracheal and peribronchial lymph nodes. Pathophysiology Pericardial…