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Myocardial involvement is a rare complication of tuberculosis. Here, Khurana et al. report a case involving a 30-year-old man who presented with ventricular tachycardia. He was successfully treated with antiarrhythmic, antituberculous and steroid pharmacotherapy followed by implantation of a cardioverter-defibrillator.
Pheochromocytomas are catecholamine-producing tumors situated in the adrenal medulla. In this month's Case Study, Kobal and colleagues describe an unusual presentation of pheochromocytoma: cyclic waves of hypertension alternating with hypotension. The patient was successfully treated with phentolamine, intravenous fluids and doxazosin, before eventually undergoing surgical removal of the tumor.
In this month's Case Study, Satoda et al. describe a patient who presented with an acute myocardial infarction 5 weeks after giving birth. Angiography revealed a severe diffuse lesion of the left anterior descending artery, which was later confirmed to be a spiral dissection. The lesion resolved after two months of medical therapy, and the patient recovered well.