{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:04Z","timestamp":1756307404568,"version":"3.44.0"},"reference-count":2,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 27-year-old woman was referred from her general practitioner (GP) 6\u2005weeks postpartum with weight loss, dyspnoea and bilateral leg swelling. She had been treated by the GP for a chest infection the week before. On admission she was tachycardic, hypotensive and hypoxic with bilateral leg oedema and bibasal crackles. A chest radiograph showed diffuse multinodular opacification. A CT pulmonary angiogram showed dilated pulmonary artery. Echocardiogram confirmed right ventricular strain and dilation. Sputum microscopy was positive for acid-fast bacilli. The patient developed confusion and low-grade fever and the CT head scan showed meningeal involvement. One year of antituberculous therapy was started and she made a clinical recovery after 10\u2005days and was discharged with regular follow-up. An echocardiogram showed resolution of the right heart strain 4\u2005months later.<\/jats:p>","DOI":"10.1136\/bcr-2013-200216","type":"journal-article","created":{"date-parts":[[2013,8,29]],"date-time":"2013-08-29T07:08:40Z","timestamp":1377760120000},"page":"bcr2013200216","source":"Crossref","is-referenced-by-count":2,"title":["An unexpected cause of right heart strain"],"prefix":"10.1136","volume":"2013","author":[{"given":"Aarash","family":"Saleh","sequence":"first","affiliation":[{"name":"Whipps Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali A","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Whipps Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"Raines","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Whipps Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,8,29]]},"reference":[{"key":"2025082707435549000_2013.aug29_1.bcr2013200216.1","unstructured":"National Institute for Health and Care Excellence. Clinical diagnosis and management of tuberculosis, and measures for its prevention and control.CG117. 2011."},{"key":"2025082707435549000_2013.aug29_1.bcr2013200216.2","unstructured":"Vinay K Abbas Abul K Nelson F . Robbins basic pathology. 8th edn. Saunders Elsevier, 2007:516\u201322. ISBN: 978-1-4160-2973-1."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:44:01Z","timestamp":1756305841000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,29]]},"references-count":2,"alternative-id":["10.1136\/bcr-2013-200216"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200216","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,8,29]]}}}