| Massive myocardial calcification of right and left ventricles following acute myocarditis complicated with rhabdomyolysis-induced acute renal failure. | |
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MedLine Citation:
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PMID: 8341004 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 26-year-old man was admitted with a high fever, oliguria, skeletal muscle weakness, and cardiogenic shock which led to a diagnosis of acute myocarditis and acute rhabdomyolysis. During treatment with hemodialysis and calcium supplementation, because of severe hypocalcemia, a massive calcification of both right and left ventricular myocardium gradually became apparent with repeated computed tomographic (CT) examinations. Technetium-99m scannings more clearly delineated the markedly accumulated calcium in the myocardium, while significant activity was not detected in other soft tissues. Histopathological examinations by myocardial biopsy revealed a large amount of fibrosis and calcium deposits, and serial CT scans showed a gradual regression of the calcium deposition, suggesting that this rare form of massive dystrophic calcification may parallel changes in the severity of myocarditis, and may be associated with abnormalities in calcium metabolism secondary to rhabdomyolysis-induced acute renal failure. |
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Authors:
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A Wada; T Nakata; K Tsuchihashi; S Aoyama; M Nanba; H Murakami; K Shimamoto; O Iimura |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Japanese circulation journal Volume: 57 ISSN: 0047-1828 ISO Abbreviation: Jpn. Circ. J. Publication Date: 1993 Jun |
Date Detail:
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Created Date: 1993-08-27 Completed Date: 1993-08-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7806868 Medline TA: Jpn Circ J Country: JAPAN |
Other Details:
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Languages: eng Pagination: 567-72 Citation Subset: IM |
Affiliation:
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Second Department of Internal Medicine, Sapporo Medical College, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Calcinosis / diagnosis*, etiology Heart Ventricles / physiopathology*, radiography, radionuclide imaging Humans Kidney Failure / complications, physiopathology Male Myocarditis / complications*, physiopathology, radiography, radionuclide imaging Rhabdomyolysis / complications*, physiopathology Tomography, X-Ray Computed |
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