@article{article_1744474, title={Myocard Tüberkülozu}, journal={Ankara Üniversitesi Tıp Fakültesi Mecmuası}, volume={4}, pages={79–88}, year={1950}, author={Köksal, Muharrem}, keywords={myocardial tuberculosis, tuberculoma, Langhans giant cells, caseation necrosis, tuberculous meningitis, pericarditis}, abstract={Although the myocardium is one of the least likely tissues for tubercle bacilli to colonize due to its physiological resistance, post-mortem studies confirm that myocardial tuberculosis can occur, albeit rarely. This case report presents a solitary tuberculoma found in the right atrium of a 24-year-old soldier with clinically diagnosed tuberculous meningitis. Post-mortem findings revealed extensive caseation necrosis, fibrosis, and Langhans giant cells. Historical literature distinguishes three major forms: solitary tuberculoma, miliary tuberculosis, and diffuse tuberculous myocarditis. Solitary tuberculomas are most frequent, often forming firm nodules misinterpreted as cardiac tumors. Miliary lesions are hematogenous, small, and usually subendocardial. Diffuse myocarditis indicates widespread granulomatous infiltration and is exceedingly rare. Clinical symptoms are often absent or limited to rhythm disturbances. Histological patterns, comparisons with other granulomatous diseases, and implications for diagnosis are discussed. The study reaffirms that myocardial tuberculosis is primarily detectable via autopsy and remains a diagnostic challenge in living patients.}, number={3-4}, publisher={Ankara University}