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Ultra-early myocardial calcification secondary to fulminant myocarditis with 4 years of follow-up: a case report
BACKGROUND: Early myocardial calcifications secondary to fulminant myocarditis (FM) are rare, and their natural evolution and effects on cardiac function are poorly understood. Here, we followed the patient for 4 years to observe the development of cardiac calcification and its impact on heart funct...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405352/ https://www.ncbi.nlm.nih.gov/pubmed/37554960 http://dx.doi.org/10.1093/ehjcr/ytad302 |
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author | You, Binquan Zeng, Congjun Wang, Bingyin |
author_facet | You, Binquan Zeng, Congjun Wang, Bingyin |
author_sort | You, Binquan |
collection | PubMed |
description | BACKGROUND: Early myocardial calcifications secondary to fulminant myocarditis (FM) are rare, and their natural evolution and effects on cardiac function are poorly understood. Here, we followed the patient for 4 years to observe the development of cardiac calcification and its impact on heart function. CASE SUMMARY: A 16-year-old man was hospitalized with a fever and cough for 1 day. The patient was previously healthy and had no history of heart disease or specific family conditions. The patient was positive for anti-Epstein–Barr virus IgG and IgM. The computed tomography (CT) scan showed no coronary lesions. Cardiogenic shock and recurrent ventricular fibrillation developed on the third day after admission, and the patient received rescue therapy such as endotracheal intubation, defibrillation, extracorporeal membrane oxygenation, and corticosteroids. On the 13th day of admission, a CT scan revealed significant calcification in the left ventricular wall. The patient was discharged after 30 days in the hospital. After discharge, his left ventricular calcification peaked at 6 months and gradually subsided after that, and his left ventricular function slowly returned to normal at 12 months. DISCUSSION: In younger patients, myocardial calcifications secondary to FM may occur as early as 13 days and affect cardiac function. After proper treatment and rehabilitation, the patient’s myocardial calcification can gradually subside and the cardiac function can gradually recover. For FM patients, timely and comprehensive intensive treatment, including heart, lung, and kidney replacement therapy and early administration of hormone preparations, may be beneficial to the early recovery of patients. |
format | Online Article Text |
id | pubmed-10405352 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-104053522023-08-08 Ultra-early myocardial calcification secondary to fulminant myocarditis with 4 years of follow-up: a case report You, Binquan Zeng, Congjun Wang, Bingyin Eur Heart J Case Rep Case Report BACKGROUND: Early myocardial calcifications secondary to fulminant myocarditis (FM) are rare, and their natural evolution and effects on cardiac function are poorly understood. Here, we followed the patient for 4 years to observe the development of cardiac calcification and its impact on heart function. CASE SUMMARY: A 16-year-old man was hospitalized with a fever and cough for 1 day. The patient was previously healthy and had no history of heart disease or specific family conditions. The patient was positive for anti-Epstein–Barr virus IgG and IgM. The computed tomography (CT) scan showed no coronary lesions. Cardiogenic shock and recurrent ventricular fibrillation developed on the third day after admission, and the patient received rescue therapy such as endotracheal intubation, defibrillation, extracorporeal membrane oxygenation, and corticosteroids. On the 13th day of admission, a CT scan revealed significant calcification in the left ventricular wall. The patient was discharged after 30 days in the hospital. After discharge, his left ventricular calcification peaked at 6 months and gradually subsided after that, and his left ventricular function slowly returned to normal at 12 months. DISCUSSION: In younger patients, myocardial calcifications secondary to FM may occur as early as 13 days and affect cardiac function. After proper treatment and rehabilitation, the patient’s myocardial calcification can gradually subside and the cardiac function can gradually recover. For FM patients, timely and comprehensive intensive treatment, including heart, lung, and kidney replacement therapy and early administration of hormone preparations, may be beneficial to the early recovery of patients. Oxford University Press 2023-07-13 /pmc/articles/PMC10405352/ /pubmed/37554960 http://dx.doi.org/10.1093/ehjcr/ytad302 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report You, Binquan Zeng, Congjun Wang, Bingyin Ultra-early myocardial calcification secondary to fulminant myocarditis with 4 years of follow-up: a case report |
title | Ultra-early myocardial calcification secondary to fulminant myocarditis with 4 years of follow-up: a case report |
title_full | Ultra-early myocardial calcification secondary to fulminant myocarditis with 4 years of follow-up: a case report |
title_fullStr | Ultra-early myocardial calcification secondary to fulminant myocarditis with 4 years of follow-up: a case report |
title_full_unstemmed | Ultra-early myocardial calcification secondary to fulminant myocarditis with 4 years of follow-up: a case report |
title_short | Ultra-early myocardial calcification secondary to fulminant myocarditis with 4 years of follow-up: a case report |
title_sort | ultra-early myocardial calcification secondary to fulminant myocarditis with 4 years of follow-up: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405352/ https://www.ncbi.nlm.nih.gov/pubmed/37554960 http://dx.doi.org/10.1093/ehjcr/ytad302 |
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