Tuberculosis of heart
ICD-10 A18.84 is a billable code used to indicate a diagnosis of tuberculosis of heart.
Tuberculosis of the heart, while rare, represents a serious manifestation of extrapulmonary tuberculosis. It can occur as a result of hematogenous spread from a primary pulmonary infection or from direct extension from adjacent structures. Clinically, it may present with symptoms such as chest pain, dyspnea, and signs of heart failure. Diagnosis typically involves imaging studies, including echocardiography and chest X-rays, alongside microbiological tests such as sputum culture or PCR for Mycobacterium tuberculosis. Treatment usually consists of a multi-drug regimen including isoniazid, rifampicin, ethambutol, and pyrazinamide, with careful monitoring for drug resistance. Public health implications are significant, as tuberculosis is a communicable disease, necessitating contact tracing and isolation procedures for active cases. Drug resistance is a growing concern, particularly with the emergence of multidrug-resistant tuberculosis (MDR-TB), which complicates treatment and increases the risk of transmission. Regular follow-up and adherence to treatment protocols are crucial to prevent complications and ensure effective management.
Detailed history of exposure, diagnostic tests, treatment regimens, and follow-up care.
Patients presenting with atypical chest pain, fever, and weight loss.
Need for thorough documentation of drug resistance testing and public health reporting.
Echocardiogram results, clinical assessment of heart function, and any interventions performed.
Patients with known tuberculosis presenting with heart failure symptoms.
Differentiating between tuberculosis-related cardiac issues and other cardiac diseases.
Used to assess cardiac function in patients with tuberculosis of the heart.
Document indications for ECG and findings.
Cardiology may require additional imaging or tests.
Common symptoms include chest pain, dyspnea, fatigue, and signs of heart failure. Patients may also present with systemic symptoms such as fever and weight loss.
