title: Recurrent fulminant viral myocarditis with a short clinical course.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Kitasato University School of Medicine, Sagamihara, Japan. takehana@med.kitasato-u.ac.jp
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Takehana
authors.forename: Takayuki
authors.initials: T
authors.lastname: Inomata
authors.forename: Sadahito
authors.initials: S
authors.lastname: Kuwao
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Nakahata
authors.forename: Takeshi
authors.initials: T
authors.lastname: Sasaki
authors.forename: Mototsugu
authors.initials: M
authors.lastname: Nishii
authors.forename: Shingo
authors.initials: S
authors.lastname: Kurokawa
authors.forename: Tohru
authors.initials: T
authors.lastname: Izumi
mesh_terms: D000208:Acute Disease; D000368:Aged; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D007150:Immunohistochemistry; D007251:Influenza, Human; D008297:Male; D009205:Myocarditis / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology / Q000821:virology*; D012008:Recurrence; D013997:Time Factors