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Case Reports
. 2009 Apr;25(4):223-5.
doi: 10.1016/s0828-282x(09)70066-2.

Elevated N-terminal pro-brain natriuretic peptide in Mycobacterium tuberculosis pulmonary infection without myocardial dysfunction

Simona L Bar  1 , Naser Sayeh, Andrew P Ignaszewski
Affiliations
Case Reports

Elevated N-terminal pro-brain natriuretic peptide in Mycobacterium tuberculosis pulmonary infection without myocardial dysfunction

Simona L Bar et al. Can J Cardiol. 2009 Apr.

Abstract
in English, French

Increased levels of N-terminal pro-brain natriuretic peptide (NT pro- BNP) in infectious settings may not reflect myocardial depression. In addition to NT pro-BNP measurement, clinical assessment remains a valuable tool for diagnosis and prognosis of heart failure. A case of excessively increased NT pro-BNP level associated with Mycobacterium tuberculosis infection that was not indicative of myocardial dysfunction is described.

Des taux élevés de peptide natriurétique N-terminal de type B (NT pro-BNP) dans un contexte infectieux ne reflètent pas nécessairement une dépression myocardique. En plus de la mesure du NT pro-BNP, l’évaluation clinique demeure un outil précieux pour le diagnostic et le pronostic d’insuffisance cardiaque. Les auteurs décrivent un cas de taux beaucoup trop élevé de NT pro-BNP associé à une infection à Myocabacterium tuberculosis non indicatrice de dysfonctionnement myocardique.

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Figures

Figure 1)
Figure 1)
Initial chest x-ray showing bilateral interstitial infiltrates
Figure 2)
Figure 2)
Initial electrocardiogram showing sinus tachycardia with premature ventricular complexes
See this image and copyright information in PMC

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