PMC6343378_01
Electrocardiogram in the patient of tubercular myocarditis with limb leads (I, III, and avr) showing the broad complex tachycardia (ventricular tachycardia)
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F1
Electrocardiogram showed ventricular tachycardia (VT) [Figure 1].
Late gadolinium-enhanced cardiac magnetic resonance imaging scans of the patient with tubercular myocarditis. Horizontal long-axis view demonstrating punctuate mid-wall-enhancing lesions, most notably in the basal lateral wall of the left ventricle (arrows). Magnetic resonance imaging scan of the patient showing the punctuate lesions of tubercular nodules within the myocardium
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F2
Computerized tomography (CT) chest showed extensive confluent mediastinal and right hilar lymphadenopathy with focal calcification in subcarinal lymph node [Figure 2].
Diffusion-weighted magnetic resonance imaging scan showing the right hilar lymphadenopathy
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F3
Magnetic resonance imaging (MRI) was done which showed mediastinal lymphadenopathy [Figure 3], diffuse LV dilatation, with myocardial edema, subendocardial septal and lateral wall scarring, and punctate mid-wall-enhancing granulomas [Figure 4] consistent with acute myocarditis, with granulomatous cardiomyopathy.
Computerized tomography scan coronal view of the chest showing right-sided subcarinal lymphadenopathy
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F4
Magnetic resonance imaging (MRI) was done which showed mediastinal lymphadenopathy [Figure 3], diffuse LV dilatation, with myocardial edema, subendocardial septal and lateral wall scarring, and punctate mid-wall-enhancing granulomas [Figure 4] consistent with acute myocarditis, with granulomatous cardiomyopathy.