A Case of Viral Myocarditis Presenting With Acute Asthma Attack
نویسندگان
چکیده
UNLABELLED Acute viral myocarditis is one of the causes of heart failure. Cardiac asthma is commonly observed in elderly patients with left heart failure. If the pulmonary manifestations are prominent it can mask the involvement of heart. We report a young case of viral myocarditis mimicking acute asthma attack. CASE PRESENTATION A 27-year-old young man with a history of asthma presented to the pulmonary department of our hospital with dyspnea, left sided chest pain, cough, wheezing. Asthma was diagnosed and treated, however his respiratory complaints have persisted. Laboratory evaluations revealed that elevated cardiac enzymes, Echocardiogram showed global hypokinesia in the left ventricle and a decrease of ejection fraction. We concluded that viral myocarditis can present itself like an acute asthma attack.
منابع مشابه
Epstein-Barr Virus Myocarditis Presenting as Acute Abdomen in a Child: a Case Report
Introduction Epstein-Barr virus (EBV) infection can present with a variety of manifestation. Case Report Here we present a case of a 7 year- old immunocompetent girl who came with acute abdominal pain , had echocardiographic evidence of myocardial dysfunction and finally was diagnosed as a case of serologically proven acute EBV infection. Conclusion...
متن کاملA case report and literature review of Churg–Strauss syndrome presenting with myocarditis
BACKGROUND Churg-Strauss syndrome (CSS) is a multisystem disorder characterized by asthma, prominent peripheral blood eosinophilia, and vasculitis signs. CASE SUMMARY Here we report a case of CSS presenting with acute myocarditis and heart failure and review the literature on CSS with cardiac involvement. A 59-year-old man with general fatigue, numbness of limbs, and a 2-year history of asthm...
متن کاملRapid Resolution of Acute Fulminant Myocarditis after IVIG and Steroid Treatment
We report a case of a 59-year-old woman who presented with worsening dyspnea which rapidly progressed to severe heart failure. Coronary arteries showed no obstruction. Supportive measures stabilized the patient's hemodynamics. Initially intravenous solumedrol was given, but when the patient's condition continued to deteriorate, intravenous immunoglobulin (IVIG) was added to the treatment regime...
متن کاملActive, fulminant, lethal myocarditis associated with parvovirus B19 infection in an infant.
We report a case of fulminant myocarditis in an 11-month-old female infant who had no other clinical signs of parvovirus infection. The patient presented with severe respiratory distress and died in sudden cardiac arrest 3 h after admission. The clinical presentation was similar to that of an asthmatic attack. Autopsy revealed signs of acute lymphocytic myocarditis. Parvovirus DNA was demonstra...
متن کاملExpression of costimulatory molecule CD40 in murine heart with acute myocarditis and reduction of inflammation by treatment with anti-CD40L/B7-1 monoclonal antibodies.
Evidence has accumulated that antigen-specific T cells infiltrate the heart and play an important role in the pathogenesis of viral myocarditis. Costimulatory molecules such as B7s and CD40 expressed on antigen-presenting cells are known to play a critical role for antigen-specific T-cell activation to occur. To investigate the role for a costimulatory molecule, CD40, in the development of acut...
متن کامل