Document Detail


Endomyocardial Biopsy and Magnetic Resonance Imaging of Acute Myocarditis with Adult-Onset Still's Disease.
MedLine Citation:
PMID:  25469148     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
A 36-year-old female with a high-grade fever and epigastric abdominal pain was prescribed antibiotics, but developed hypoxia and dyspnea. An echocardiography revealed diffuse hypokinesis and massive pericardial effusion, after which diagnostic cardiac catheterization and an endomyocardial biopsy (EMB) were peformed to reveal fibrosis and infiltration of inflammation cells composed primarily of neutrophils. Clinical manifestation of a spiking fever, leukocytosis, elevated ferritin levels, skin rash and EMB findings led to a diagnosis of adult-onset Still's disease (AOSD) with acute myocarditis. Pulse therapy of intravenous methylprednisolone was performed for three days, followed by a daily dose of prednisone (60 mg). After a course of steroid therapy for fever and pericardial effusion, and conducting a left ventricular ejection fraction, the patient showed improvement and was discharged asymptomatic within 32 days of admission. This study is the first to report on a case of myocarditis in AOSD diagnosed by neutrophil infiltration in the myocardium.
Authors:
Masahiro Yamazoe; Atsushi Mizuno; Yasuhiro Suyama; Yutaro Nishi; Koyu Suzuki; Koichiro Niwa; Masato Okada
Related Documents :
15125718 - Detection of acute myocardial ischemia during percutaneous transluminal coronary angiop...
12167178 - Lack of impact of myocardial ischemia on the signal-averaged ecg assessment by time-dom...
7641348 - Relation between ischemia time, infarct size, and left ventricular function in humans.
9535488 - A possible mechanism for electrocardiographically silent changes in cardiac repolarizat...
310158 - Aorto-coronary saphenous vein bypass graft. peroperative flow studies related to late g...
2091228 - Myocardial connective tissue alterations.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-11-25
Journal Detail:
Title:  Korean circulation journal     Volume:  44     ISSN:  1738-5520     ISO Abbreviation:  Korean Circ J     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-12-3     Completed Date:  -     Revised Date:  2014-12-4    
Medline Journal Info:
Nlm Unique ID:  101247141     Medline TA:  Korean Circ J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  437-440     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A Case of Secondary Hypertension Associated with the Nutcracker Phenomenon.
Next Document:  Successful Medical Treatment of Prosthetic Mitral Valve Endocarditis Caused by Brucella abortus.