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A Case of Fulminant Myocarditis With Preceding Repeated Episodes of Congestive Heart Failure

We report a rare case of fulminant myocarditis that was considered to have smoldered for a few months before it finally exteriorized. An 80-year-old man had had two episodes of mild congestive heart failure with preserved ejection function (HFPEF) within 3 months before he was finally admitted for t...

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Autores principales: Tada, Yuko, Uto, Kenta, Wada, Hiroshi, Sakakura, Ken-ichi, Suzuki, Jun-ichi, Nishikawa, Toshio, Ako, Junya, Momomura, Shin-ichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358218/
https://www.ncbi.nlm.nih.gov/pubmed/28352425
http://dx.doi.org/10.4021/cr261w
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author Tada, Yuko
Uto, Kenta
Wada, Hiroshi
Sakakura, Ken-ichi
Suzuki, Jun-ichi
Nishikawa, Toshio
Ako, Junya
Momomura, Shin-ichi
author_facet Tada, Yuko
Uto, Kenta
Wada, Hiroshi
Sakakura, Ken-ichi
Suzuki, Jun-ichi
Nishikawa, Toshio
Ako, Junya
Momomura, Shin-ichi
author_sort Tada, Yuko
collection PubMed
description We report a rare case of fulminant myocarditis that was considered to have smoldered for a few months before it finally exteriorized. An 80-year-old man had had two episodes of mild congestive heart failure with preserved ejection function (HFPEF) within 3 months before he was finally admitted for the treatment of rapidly progressive heart failure. Cardiac function deteriorated remarkably on the final admission. Extracorporeal cardiopulmonary support was used because of pump failure and conduction disability, however, the patient died on the 16th day. Endomyocardial biopsy revealed numerous inflammatory infiltrates in myocardium compatible with fulminant myocarditis. However, advanced fibrosis and increased number of B lymphocytes and plasma cells found in the present case were not typical for fulminant myocarditis. Considering several distinctive findings in clinical and laboratory findings together, two preceding HFPEF episodes were highly likely to be associated with myocarditis.
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spelling pubmed-53582182017-03-28 A Case of Fulminant Myocarditis With Preceding Repeated Episodes of Congestive Heart Failure Tada, Yuko Uto, Kenta Wada, Hiroshi Sakakura, Ken-ichi Suzuki, Jun-ichi Nishikawa, Toshio Ako, Junya Momomura, Shin-ichi Cardiol Res Case Report We report a rare case of fulminant myocarditis that was considered to have smoldered for a few months before it finally exteriorized. An 80-year-old man had had two episodes of mild congestive heart failure with preserved ejection function (HFPEF) within 3 months before he was finally admitted for the treatment of rapidly progressive heart failure. Cardiac function deteriorated remarkably on the final admission. Extracorporeal cardiopulmonary support was used because of pump failure and conduction disability, however, the patient died on the 16th day. Endomyocardial biopsy revealed numerous inflammatory infiltrates in myocardium compatible with fulminant myocarditis. However, advanced fibrosis and increased number of B lymphocytes and plasma cells found in the present case were not typical for fulminant myocarditis. Considering several distinctive findings in clinical and laboratory findings together, two preceding HFPEF episodes were highly likely to be associated with myocarditis. Elmer Press 2013-04 2013-05-09 /pmc/articles/PMC5358218/ /pubmed/28352425 http://dx.doi.org/10.4021/cr261w Text en Copyright 2013, Tada et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Tada, Yuko
Uto, Kenta
Wada, Hiroshi
Sakakura, Ken-ichi
Suzuki, Jun-ichi
Nishikawa, Toshio
Ako, Junya
Momomura, Shin-ichi
A Case of Fulminant Myocarditis With Preceding Repeated Episodes of Congestive Heart Failure
title A Case of Fulminant Myocarditis With Preceding Repeated Episodes of Congestive Heart Failure
title_full A Case of Fulminant Myocarditis With Preceding Repeated Episodes of Congestive Heart Failure
title_fullStr A Case of Fulminant Myocarditis With Preceding Repeated Episodes of Congestive Heart Failure
title_full_unstemmed A Case of Fulminant Myocarditis With Preceding Repeated Episodes of Congestive Heart Failure
title_short A Case of Fulminant Myocarditis With Preceding Repeated Episodes of Congestive Heart Failure
title_sort case of fulminant myocarditis with preceding repeated episodes of congestive heart failure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358218/
https://www.ncbi.nlm.nih.gov/pubmed/28352425
http://dx.doi.org/10.4021/cr261w
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