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 infiltration that mainly consisted of mononuclear cells positive for CD8, suggesting that the second bout of myocarditis was caused by viral re-infection.
Takehana
Hitoshi
H
Department of Internal Medicine, Kitasato University School of Medicine, Sagamihara, Japan. takehana@med.kitasato-u.ac.jp
Inomata
Takayuki
T
Kuwao
Sadahito
S
Nakahata
Jun-ichi
J
Sasaki
Takeshi
T
Nishii
Mototsugu
M
Kurokawa
Shingo
S
Izumi
Tohru
T
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