{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:08:05Z","timestamp":1780582085036,"version":"3.54.1"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>Intestinal tuberculosis (TB) typically presents with gastrointestinal symptoms, and cardiac conduction abnormalities associated with isolated intestinal TB have rarely been reported. We describe a 37-year-old male presenting with abdominal pain, constipation, and significant weight loss, with epidemiological exposure to cattle and raw milk. During hospitalization, he developed sinus bradycardia with a lowest corrected heart rate of approximately 46 beats per minute. The bradycardia persisted despite treatment with propantheline and atropine. Colonoscopy revealed terminal ileitis, and histopathology demonstrated nonspecific chronic ileitis without granuloma formation. Cardiac evaluation including echocardiography, troponin levels, electrolytes, and serum cortisol was unremarkable. Hydrocortisone administration was temporally associated with improvement in heart rate within 48\u2009hours. Empirical anti-tuberculosis therapy was subsequently initiated, and the patient demonstrated sustained clinical improvement. Although causality cannot be definitively established, this case illustrates a rare temporal association between presumptive intestinal tuberculosis and steroid-responsive bradycardia. The report highlights the importance of considering systemic inflammatory processes in unexplained bradycardia, particularly in tuberculosis-endemic settings.<\/jats:p>","DOI":"10.1177\/11795476261453439","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T16:42:49Z","timestamp":1780332169000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Steroid-Responsive Bradycardia in a Patient with Presumptive Isolated Intestinal Tuberculosis: A Case Report"],"prefix":"10.1177","volume":"19","author":[{"given":"Farzana","family":"Islam","sequence":"first","affiliation":[{"name":"Department of Medicine, Shaheed Monsur Ali Medical College, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaila","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Shaheed Monsur Ali Medical College, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Salman","family":"Karim","sequence":"additional","affiliation":[{"name":"Department of Medicine, Shaheed Monsur Ali Medical College, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2105-0259","authenticated-orcid":false,"given":"Mehreen Salim","family":"Aurpa","sequence":"additional","affiliation":[{"name":"Department of Medicine, Shaheed Monsur Ali Medical College, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2674-9752","authenticated-orcid":false,"given":"Mostofa Kamal","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, Bangladesh Medical University, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2016.11.018"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.31083\/RCM44092"},{"key":"e_1_3_3_4_2","unstructured":"Tobin EH Khatri AM. Abdominal tuberculosis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK556115\/ [Updated 2025 Feb 6]."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/1751-2980.12324"},{"key":"e_1_3_3_6_2","article-title":"Systemic inflammation-related bradycardia in COVID-19","volume":"2021","author":"Srinivasan A","year":"2021","unstructured":"Srinivasan A, Pansuriya T, Wilson B, et al. Systemic inflammation-related bradycardia in COVID-19. Case Rep Cardiol. 2021;2021:9986955.","journal-title":"Case Rep Cardiol"},{"issue":"6","key":"e_1_3_3_7_2","article-title":"Bradycardia in patients with COVID-19: a calm before the storm?","volume":"12","author":"Amaratunga EA","year":"2020","unstructured":"Amaratunga EA, Corwin DS, Moran L, Snyder R. Bradycardia in patients with COVID-19: a calm before the storm? Cureus. 2020;12(6):e8599.","journal-title":"Cureus"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v4.i9.273"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12020445"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.019435"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2018.07.014"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.1035896"},{"issue":"10","key":"e_1_3_3_13_2","first-page":"691","article-title":"Sick sinus Syndrome: a review","volume":"87","author":"Semelka M","year":"2013","unstructured":"Semelka M, Gera J, Usman S. Sick sinus Syndrome: a review. 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