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FDG-PET in a myocardial tuberculoma An 88-year-old woman was admitted for syncope and bradycardia. She complained of recent fatigue and weight loss. After insertion of a pacemaker device, the clinical course was complicated by fever and a seizure. Eventually, we found that a multivisceral culture-positive tuberculous reactivation was likely to account for these symptoms. Radiological workup including 18-fluorodeoxyglucose-positron emission tomography (FDG-PET) yielded a myocardial tuberculoma (Figure 1). Myocardial involve-ment is rare compared with the classical pericarditis in disseminated tuberculosis [1], but it may have specific pre-sentations like syncope, palpitations or cardiac failure. To diagnose disseminated tuberculosis, FDG-PET can be useful when culture or histopathology is difficult or impossible [2]. It is a promising technique for therapeutic monitoring, as it may guide early interventions [3]. The patient was treated medically with antituberculous therapy for 12 months. She was alive 24 months later and the only sequela was a complete atrioventricular block. Acknowledgements The patient gave informed written consent for publishing these data. The authors thank Celine Pavio, Amadou Konaté, Beatrix Noel and Amy Crees for their clinical contributions