{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:33:52Z","timestamp":1787841232145,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>\n                    Involvement of the heart in children with tuberculosis (TB) generally affects the pericardium; however, the myocardium of a child being affected alone and leading to systolic heart dysfunction has rarely ever been reported. We report a case of a 12-year-old child who presented to Pediatric Emergency Services with severe hypotension (BP &lt;5\n                    <jats:sup>th<\/jats:sup>\n                    percentile for the age) and was subsequently diagnosed with severe left ventricular (LV) dysfunction, with an ejection fraction of less than 15%. During the hospital stay, after an exhaustive workup, the child was diagnosed with pulmonary TB with tubercular myocarditis. The child was managed with anti-tubercular treatment (ATT) and was followed up regularly for monitoring of ejection fraction with echocardiography. The LV systolic function improved, with the ejection fraction increasing to 55%-60% at 3 months. The child is still on regular follow-up, has completed 6-month course of ATT, and is doing well.\n                  <\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_548_24","type":"journal-article","created":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T10:01:05Z","timestamp":1733479265000},"page":"5924-5926","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child"],"prefix":"10.4103","volume":"13","author":[{"given":"Dinkar","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of Pediatrics, PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geeta","family":"Gathwala","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kapil","family":"Bhalla","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"R1-20241210","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 Infect Dis"},{"key":"R2-20241210","first-page":"422","article-title":"Cardiac tuberculosis. A study of 19 patients","volume":"111","author":"Rose","year":"1987","journal-title":"Arch of Pathol Lab Med"},{"key":"R3-20241210","doi-asserted-by":"crossref","first-page":"118","DOI":"10.11604\/pamj.2015.21.118.4282","article-title":"Pattern and clinical manifestations of tuberculous myocarditis:A systematic review of cases","volume":"21","author":"Michira","year":"2015","journal-title":"Pan Afr Med J"},{"key":"R4-20241210"},{"key":"R6-20241210","doi-asserted-by":"crossref","first-page":"e453","DOI":"10.1016\/S2214-109X(14)70245-1","article-title":"Burden of childhood tuberculosis in 22 high-burden countries:A mathematical modelling study","volume":"2","author":"Dodd","year":"2014","journal-title":"Lancet Global Health"},{"key":"R7-20241210","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s12098-019-03078-0","article-title":"Tuberculous dilated cardiomyopathy with myocarditis","volume":"87","author":"Kumar","year":"2020","journal-title":"Indian J Pediatr"},{"key":"R8-20241210","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.carpath.2005.08.003","article-title":"Tuberculoma of the heart","volume":"15","author":"Vaideeswar","year":"2006","journal-title":"Cardiovasc Pathol"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_548_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:46:20Z","timestamp":1787838380000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_548_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":7,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_548_24","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]},"assertion":[{"value":"2024-04-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}