Hypersensitivity myocarditis confirmed by cardiac magnetic resonance imaging and endomyocardial biopsy
نویسندگان
چکیده
Myocarditis often occurs due to viral infections and postviral immune-mediated responses. Hypersensitivity myocarditis is a rare form of myocarditis. Numerous drugs can induce myocarditis, which is typically reversible after withdrawal of the causative agent. Here, we report a case of hypersensitivity myocarditis that was probably triggered by amoxicillin and that resolved completely with heart failure management as well as discontinuation of the drug. A 68-year-old woman presented with acute chest pain mimicking acute coronary syndromes, but the coronary angiography was normal. A recent history of taking medications, skin rash, and peripheral eosinophilia suggested a diagnosis of hypersensitivity myocarditis, which was confirmed by cardiac magnetic resonance imaging and endomyocardial biopsy.
منابع مشابه
Utility of cardiac FDG-PET imaging coupled to magnetic resonance for the management of an acute myocarditis with non-informative endomyocardial biopsy.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . doi:10.1093/ehjci/jeu319 Online publish-ahead-of-pr...
متن کاملPerformance of comprehensive cardiac magnetic resonance imaging including T1 and T2 mapping on 1.5 vs. 3.0 Tesla as compared to biventricular endomyocardial biopsy in patients with suspected myocarditis - the MyoRacer trial
Performance of comprehensive cardiac magnetic resonance imaging including T1 and T2 mapping on 1.5 vs. 3.0 Tesla as compared to biventricular endomyocardial biopsy in patients with suspected myocarditis the MyoRacer trial Philipp Lurz, Christian F Luecke, Marcus Sandri, Enno Boudriot, Ingo Eitel, Suzanne de Waha, Karin Klingel, Reinhard Kandolf, Matthias Grothoff, Gerhard Schuler, Holger Thiele...
متن کاملLong-term follow-up after viral myocarditis established by endomyocardical biopsy: Predictors of mortality
Introduction Myocarditis is a frequent cardiac disease occurring in all ages that is difficult to diagnose. However, new procedures such as cardiac magnetic resonance imaging (CMR) and biventricular endomyocardial biopsy with histological, immunohistochemical and microbiological work-up have revolutionized the diagnosis of myocarditis in the last years. Nevertheless, the long-term mortality aft...
متن کاملCombined electrocardiography, coronary angiography and magnetic resonance imaging for the diagnosis of viral myocarditis: A case report
Endomyocardial biopsy is the gold standard for diagnosing viral myocarditis. However, this method is rarely used as it is more invasive, less sensitive and has a higher incidence of complications than other methods. With recent developments in myocarditis research, cardiovascular nuclear magnetic resonance imaging has been demonstrated to have a marked advantage over endomyocardial biopsy, spec...
متن کاملThe value of cardiac magnetic resonance in the prediction of left ventricular function improvement following acute myocarditis
Background Although cardiac magnetic resonance (CMR) has good diagnostic performance in myocarditis, an endomyocardial biopsy (EMB) is still required when treatment against the underlying etiology is considered. Many patients however have a good prognosis following myocarditis and will therefore not benefit from an EMB. The ability of CMR to predict outcomes in these patients may therefore guid...
متن کامل