A 31-year-old female with diffuse pulmonary infiltrates and intracardiac thrombus

Nitesh Gupta; Stuti Gupta; Yash Kedia; Rohit Kumar; Mahendran AJ; Pranav Ish; Manu Madan; Rajnish Kaushik

doi:10.4081/cdr.12.12581

Authors

Nitesh Gupta
niteshgupta2107@gmail.com
Department of Pulmonary Medicine, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. https://orcid.org/0000-0002-5842-5584
Stuti Gupta Department of Pulmonary Medicine, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. https://orcid.org/0000-0003-3135-4189
Yash Kedia Department of Pulmonary Medicine, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. https://orcid.org/0000-0002-0453-0039
Rohit Kumar Department of Pulmonary Medicine, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. https://orcid.org/0000-0001-6398-7840
Mahendran AJ Department of Pulmonary Medicine, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. https://orcid.org/0000-0003-4907-1312
Pranav Ish Department of Pulmonary Medicine, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. https://orcid.org/0000-0003-1701-4970
Manu Madan Department of Pulmonary Medicine, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. https://orcid.org/0000-0001-9245-4568
Rajnish Kaushik Department of Pulmonary Medicine, Critical Care and Sleep Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. https://orcid.org/0009-0008-3985-4659

Intracardiac masses on echocardiography can represent thrombi, vegetations, or tumors. Cardiac Magnetic Resonance Imaging (MRI) is a sensitive tool that differentiates between the three. Intracardiac thrombi can develop during various pathological conditions that cause stasis of blood and predispose to the aggregation of thrombotic material. Atrial clots can occur in conditions like atrial fibrillation, structural heart diseases, thrombophilia, and chronic inflammations. Tuberculosis (TB) is a prothrombotic state and can predispose to venous and sometimes arterial clot formation. But intracardiac clots in TB are rare. We report a young patient presenting with bilateral intracardiac clots and diagnosed to have disseminated tuberculosis. Treatment with anti-tubercular therapy and therapeutic anticoagulation leads to complete resolution of the thrombi.

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Gupta, N., Gupta, S., Kedia, Y., Kumar, R., AJ, M., Ish, P., Madan, M., & Kaushik, R. (2024). A 31-year-old female with diffuse pulmonary infiltrates and intracardiac thrombus. Chest Disease Reports, 12(1). https://doi.org/10.4081/cdr.12.12581