Thiamine deficiency mimicking acute rejection following cardiac transplantation.
We describe a recipient of an orthotopic cardiac transplant who developed severe ventricular dysfunction following an episode of sepsis. He had normal cardiac biopsies and responded to treatment with thiamine. Causes other than rejection should be considered in patients who have received a cardiac transplant and who present in cardiac failure.
Department of Paediatric Cardiology, Freeman Hospital, High Heaton, UK.
A R
AR
Gennery
K
K
Bartlett
A
A
Hasan
D000208:Acute Disease; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006084:Graft Rejection / Q000175:diagnosis; D006333:Heart Failure / Q000209:etiology*; D016027:Heart Transplantation / Q000473:pathology; D006801:Humans; D008297:Male; D013832:Thiamine Deficiency / Q000150:complications* / Q000175:diagnosis*