[Myocardial depression in a patient with celiac disease. A clinical case report and literature review].
We report an autoinmune myocarditis case as a complication of celiac disease in a 28 year old woman. She had a 15 month history or diarrhea. She suffered pelvic trauma due to an episode of syncope and was admitted with refractory shock to fluid repletion. At laparotomy, two moderate hematomas were found in the subcutaneous space and retroperitoneum. Later she developed hemodynamic instability requiring positioning of a Swan-Ganz pulmonary artery catheter that demonstrated pattern of cardiogenic shock. Echocardiography demonstrated dilation of all four cavities and 35% ejection fraction. Dobutamine and milrinone infusion was begun. Later, a new echocardiographic study show improvement in eyection fraction. She was discharged without complications.
Namendys Silva
Silvio Antonio
SA
Residente de Medicina Crítica, División de Medicina Crítica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. tony75ni@msn.com
Posadas Calleja
Juan Gabriel
JG
Domínguez Cherit
Guillermo
G
D000328:Adult; D001327:Autoimmune Diseases / Q000150:complications; D002446:Celiac Disease / Q000150:complications*; D005260:Female; D006801:Humans; D009205:Myocarditis / Q000150:complications* / Q000175:diagnosis / Q000276:immunology