title: [Diplopia and cardiogenic shock].
abstract: Idiopathic giant cell myocarditis is a rare and frequently fatal inflammatory heart disease which leads to congestive heart failure or ventricular arrhythmias. It is often associated with other autoimmune disorders. We report a 39-year-old woman who first presented with diplopia and painful eye movements, the typical clinical picture of orbital myositis. Shortly afterwards, she developed rapidly progressive congestive heart failure due to giant cell myocarditis, which took a fatal course within some weeks. Autopsy confirmed both disorders. This case report underlines the importance of early and repeated monitoring of cardiac function, if orbital myositis is suspected, in order to consider cardiac transplantation, the only efficacious treatment of giant cell myocarditis, in time.
authors.affiliation: Klinik für Psychiatrie, Landeskrankenhaus Hildesheim.
authors.forename: M
authors.initials: M
authors.lastname: Kollmeier
authors.forename: M
authors.initials: M
authors.lastname: Brodhun
authors.forename: U
authors.initials: U
authors.lastname: Sliwka
authors.forename: H
authors.initials: H
authors.lastname: Sigusch
authors.forename: O W
authors.initials: OW
authors.lastname: Witte
authors.forename: G
authors.initials: G
authors.lastname: Heide
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004172:Diplopia; D017809:Fatal Outcome; D005260:Female; D015726:Giant Cells / Q000473:pathology*; D006801:Humans; D009205:Myocarditis / Q000150:complications* / Q000175:diagnosis*; D016727:Orbital Pseudotumor / Q000150:complications* / Q000175:diagnosis*; D012770:Shock, Cardiogenic / Q000175:diagnosis* / Q000209:etiology*