Recurrent Fulminant Viral Myocarditis With a Short Clinical Course

A 75-year-old man recovered from an episode of acute influenza. A myocarditis with a normalized level of serum cardiac troponin T, but less than 2 weeks after recovery, he rapidly fell into cardiogenic shock and died of fulminant myocarditis. The autopsied heart showed marked inflammatory cell infil...

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Bibliographic Details
Published in:Circulation Journal 2003, Vol.67(7), pp.646-648
Main Authors: Takehana, Hitoshi, Inomata, Takayuki, Kuwao, Sadahito, Nakahata, Jun-ichi, Sasaki, Takeshi, Nishii, Mototsugu, Kurokawa, Shingo, Izumi, Tohru
Format: Article
Language:English
Subjects:
Acute Disease
Aged
Biological and medical sciences
Cardiac troponin T
Echocardiography
Electrocardiography
Fatal Outcome
Human viral diseases
Humans
Immunohistochemistry
Infectious diseases
Influenza A virus
Influenza, Human
Male
Medical sciences
Myocarditis - diagnosis
Myocarditis - pathology
Myocarditis - physiopathology
Myocarditis - virology
Recurrence
Recurrent fulminant myocarditis
Time Factors
Viral cardiopathies
Viral diseases
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Summary:A 75-year-old man recovered from an episode of acute influenza. A myocarditis with a normalized level of serum cardiac troponin T, but less than 2 weeks after recovery, he rapidly fell into cardiogenic shock and died of fulminant myocarditis. The autopsied heart showed marked inflammatory cell infiltration that mainly consisted of mononuclear cells positive for CD8, suggesting that the second bout of myocarditis was caused by viral re-infection. (Circ J 2003; 67: 646 - 648)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.67.646