A RARE ASSOCIATION OF MYOCARDITIS IN A CASE OF TUBERCULOUS MENINGOENCEPHALITIS

Abstract

Tuberculosis (TB) poses a significant global health threat, often affecting extrapulmonary sites. We present a rare case of TB presenting initially as tuberculous meningoencephalitis, complicated subsequently by myocarditis in a previously healthy 35-year-old female. Clinical evaluation revealed systemic involvement, including respiratory distress and cardiac abnormalities. Diagnosis confirmed tuberculous meningitis and myocardial involvement. Treatment involved anti tubercular therapy, cardiac medications, and supportive care. Serial monitoring showed gradual improvement in neurological and cardiac parameters, culminating in normalized cardiac function post-therapy. This case emphasizes the varied clinical presentations of TB and underscores the importance of considering myocarditis in patients with tuberculous meningitis and cardiac symptoms. Early recognition and multidisciplinary management are essential for optimal outcomes in such cases.