Cytomegalovirus myocarditis in transplanted heart verified by endomyocardial biopsy.
Cytomegalovirus infections are common disorders after heart transplantations. Manifestation of the virus without a clinical disease is still more prevalent. Differentiation of clinical infections from cytomegalovirus activations without major pathogenetic importance issues a challenge in the follow-up of patients with cardiac transplants. The case describes a 56-year-old female patient with a multiple organ lethal infection and myocarditis due to cytomegalovirus diagnosed during life with endomyocardial biopsy.
Partanen
J
J
First Department of Medicine, Helsinki University Central Hospital, Finland.
Nieminen
M S
MS
Krogerus
L
L
Lautenschlager
I
I
Geagea
A
A
Aarnio
P
P
Mattila
S
S
D001706:Biopsy; D003586:Cytomegalovirus Infections / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D005260:Female; D015774:Ganciclovir / Q000008:administration & dosage / Q000627:therapeutic use; D006333:Heart Failure / Q000601:surgery; D016027:Heart Transplantation / Q000009:adverse effects* / Q000276:immunology; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects*; D008875:Middle Aged; D009205:Myocarditis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*
D015774:Ganciclovir