Fulminant myocarditis secondary to murine typhus mimicking acute coronary syndrome

Myocarditis is a disease with variable clinical presentation, ranging from an uncomplicated febrile illness to cardiogenic shock. Herein, we report a case of fulminant myocarditis secondary to murine typhus in a 52-year-old male that initially mimicked an acute coronary syndrome. Emergent coronary a...

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Bibliographic Details
Published in:Journal of cardiology cases 2021-09, Vol.24 (3), p.99-101
Main Authors: Toy, Dana, Vo, Christopher, Kwan, Wilson C, Shavelle, David M.
Format: Article
Language:English
Subjects:
Acute coronary syndrome
Acute heart failure
Angiotensin-converting enzyme inhibitor
Beta-blockers
Case Report
Chest pain
Ejection fraction
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Summary:Myocarditis is a disease with variable clinical presentation, ranging from an uncomplicated febrile illness to cardiogenic shock. Herein, we report a case of fulminant myocarditis secondary to murine typhus in a 52-year-old male that initially mimicked an acute coronary syndrome. Emergent coronary angiography showed angiographically normal coronary arteries. Left ventriculography showed global hypokinesis with an ejection fraction of 10%. The patient required mechanical support with an intra-aortic balloon pump and fully recovered.
ISSN:1878-5409
1878-5409
DOI:10.1016/j.jccase.2021.02.007