{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:24Z","timestamp":1787775744337,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We describe an unusual case involving a 25-year-old male who presented with breathlessness, cough, chest pain, abdominal pain, and significant weight loss. Detailed evaluation revealed pulmonary tuberculosis, an adrenal mass with biochemical evidence of a dual-secretory pheochromocytoma and severe dilated cardiomyopathy with profound left ventricular dysfunction. The coexistence of these conditions is extremely rare and highlights several clinical challenges \u2013 both in diagnosis and management. This case report emphasizes the importance of considering uncommon etiologies when confronted with multi-system involvement in young patients, the diagnostic difficulties posed by overlapping clinical features, and the critical role of a multidisciplinary approach in achieving optimal outcomes.<\/jats:p>","DOI":"10.4103\/aam.aam_627_25","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T12:00:08Z","timestamp":1772625608000},"page":"S236-S239","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Presentation of Tuberculosis: Dilated Cardiomyopathy Secondary to Myocarditis with a Dual-secretory Adrenal Pheochromocytoma"],"prefix":"10.4103","volume":"25","author":[{"given":"Tushar Vishnu","family":"Tonde","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yagnam Sai","family":"Hareeswar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonali","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akhilesh","family":"Jagirdar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"key":"R1-20260819","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.4158\/EP.14.9.1137","article-title":"Catecholamine-induced cardiomyopathy","volume":"14","author":"Kassim","year":"2008","journal-title":"Endocr Pract"},{"key":"R2-20260819","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/1471-2334-5-29","article-title":"Tuberculous dilated cardiomyopathy: an under-recognized entity?","volume":"5","author":"Agarwal","year":"2005","journal-title":"BMC Infectious Diseases"},{"key":"R3-20260819","doi-asserted-by":"crossref","first-page":"K25","DOI":"10.1530\/ERP-17-0024","article-title":"Acute myocarditis secondary to cardiac tuberculosis: A case report","volume":"4","author":"Cowley","year":"2017","journal-title":"Echo Research and Practice"},{"key":"R4-20260819","doi-asserted-by":"crossref","first-page":"luad073","DOI":"10.1210\/jcemcr\/luad073","article-title":"Dual aldosterone-and cortisol-secreting adrenal cortical carcinoma: pre-and perioperative evaluation and management","volume":"1","author":"Rosenberg","year":"2023","journal-title":"JCEM Case Reports"},{"key":"R5-20260819","doi-asserted-by":"crossref","first-page":"1204851","DOI":"10.3389\/fendo.2023.1204851","article-title":"Pheochromocytoma\/paraganglioma-associated cardiomyopathy","volume":"14","author":"Szatko","year":"2023","journal-title":"Frontiers in Endocrinology"},{"key":"R6-20260819","doi-asserted-by":"crossref","first-page":"em452","DOI":"10.29333\/ejgm\/12834","article-title":"Cardiac dysfunction in active pulmonary tuberculosis: Clinical and echocardiographic features","volume":"20","author":"Patil","year":"2023","journal-title":"Electron J Gen Med"},{"key":"R7-20260819","first-page":"138","article-title":"Severe cardiomyopathy secondary to pheochromocytoma: Anaesthetic management and literature review","volume":"43","author":"Rosenberger","year":"2015","journal-title":"Colomb J Anesthesiol"},{"key":"R8-20260819","first-page":"60","article-title":"Tuberculous myocarditis: Case report and review of literature","volume":"23","author":"Vennamaneni","year":"2022","journal-title":"Heart Views"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_627_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:41:11Z","timestamp":1787773271000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_627_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,4]]},"references-count":8,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_627_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,4]]},"assertion":[{"value":"2025-10-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}