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Acute Myocarditis with Severe Fever and Thrombocytopenia Syndrome

A 67-year-old man, hospitalized with fever and pancytopenia, experienced cardiogenic shock on the 3rd day of hospitalization. He complained of chest pain and exhibited cardiac dysfunction, upregulated serum troponin levels, and an ST elevation on electrocardiogram. Severe fever with thrombocytopenia...

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Autores principales: Okutsu, Shota, Futami, Makito, Arimura, Tadaaki, Ohki, Kosuke, Hiyoshi, Tetsuya, Sakihara, Eishi, Kato, Yoshifumi, Ueda, Yoko, Yano, Masaya, Takeshita, Morishige, Ishikura, Hiroyasu, Suzuki, Tadaki, Kato, Seiya, Miura, Shin-ichiro, Nabeshima, Shigeki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259318/
https://www.ncbi.nlm.nih.gov/pubmed/35650116
http://dx.doi.org/10.2169/internalmedicine.7018-21
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author Okutsu, Shota
Futami, Makito
Arimura, Tadaaki
Ohki, Kosuke
Hiyoshi, Tetsuya
Sakihara, Eishi
Kato, Yoshifumi
Ueda, Yoko
Yano, Masaya
Takeshita, Morishige
Ishikura, Hiroyasu
Suzuki, Tadaki
Kato, Seiya
Miura, Shin-ichiro
Nabeshima, Shigeki
author_facet Okutsu, Shota
Futami, Makito
Arimura, Tadaaki
Ohki, Kosuke
Hiyoshi, Tetsuya
Sakihara, Eishi
Kato, Yoshifumi
Ueda, Yoko
Yano, Masaya
Takeshita, Morishige
Ishikura, Hiroyasu
Suzuki, Tadaki
Kato, Seiya
Miura, Shin-ichiro
Nabeshima, Shigeki
author_sort Okutsu, Shota
collection PubMed
description A 67-year-old man, hospitalized with fever and pancytopenia, experienced cardiogenic shock on the 3rd day of hospitalization. He complained of chest pain and exhibited cardiac dysfunction, upregulated serum troponin levels, and an ST elevation on electrocardiogram. Severe fever with thrombocytopenia syndrome (SFTS) was suspected based on the symptom course after a tick bite and was definitively diagnosed using the serum polymerase chain reaction (PCR) test. An endomyocardial biopsy performed in the convalescent phase revealed a sign of myocardial inflammation with increases in CD3- and CD68-positive cells. We herein report the first case of acute myocarditis complicated with SFTS.
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spelling pubmed-92593182022-07-19 Acute Myocarditis with Severe Fever and Thrombocytopenia Syndrome Okutsu, Shota Futami, Makito Arimura, Tadaaki Ohki, Kosuke Hiyoshi, Tetsuya Sakihara, Eishi Kato, Yoshifumi Ueda, Yoko Yano, Masaya Takeshita, Morishige Ishikura, Hiroyasu Suzuki, Tadaki Kato, Seiya Miura, Shin-ichiro Nabeshima, Shigeki Intern Med Case Report A 67-year-old man, hospitalized with fever and pancytopenia, experienced cardiogenic shock on the 3rd day of hospitalization. He complained of chest pain and exhibited cardiac dysfunction, upregulated serum troponin levels, and an ST elevation on electrocardiogram. Severe fever with thrombocytopenia syndrome (SFTS) was suspected based on the symptom course after a tick bite and was definitively diagnosed using the serum polymerase chain reaction (PCR) test. An endomyocardial biopsy performed in the convalescent phase revealed a sign of myocardial inflammation with increases in CD3- and CD68-positive cells. We herein report the first case of acute myocarditis complicated with SFTS. The Japanese Society of Internal Medicine 2022-06-01 2022-06-01 /pmc/articles/PMC9259318/ /pubmed/35650116 http://dx.doi.org/10.2169/internalmedicine.7018-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Okutsu, Shota
Futami, Makito
Arimura, Tadaaki
Ohki, Kosuke
Hiyoshi, Tetsuya
Sakihara, Eishi
Kato, Yoshifumi
Ueda, Yoko
Yano, Masaya
Takeshita, Morishige
Ishikura, Hiroyasu
Suzuki, Tadaki
Kato, Seiya
Miura, Shin-ichiro
Nabeshima, Shigeki
Acute Myocarditis with Severe Fever and Thrombocytopenia Syndrome
title Acute Myocarditis with Severe Fever and Thrombocytopenia Syndrome
title_full Acute Myocarditis with Severe Fever and Thrombocytopenia Syndrome
title_fullStr Acute Myocarditis with Severe Fever and Thrombocytopenia Syndrome
title_full_unstemmed Acute Myocarditis with Severe Fever and Thrombocytopenia Syndrome
title_short Acute Myocarditis with Severe Fever and Thrombocytopenia Syndrome
title_sort acute myocarditis with severe fever and thrombocytopenia syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259318/
https://www.ncbi.nlm.nih.gov/pubmed/35650116
http://dx.doi.org/10.2169/internalmedicine.7018-21
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