Diagnostic dilemmas and management of fulminant myocarditis.
Myocarditis is commonly a diagnosis of exclusion. We report a case of fulminant myocarditis in a patient with cardiogenic shock in whom the initial diagnosis was unclear. Early supportive care including extracorporeal membrane oxygenation and intra-aortic balloon pump were instituted. Complete recovery of cardiac function was achieved. This case highlights the difficulty in diagnosing myocarditis and the benefits of early intensive support.
Ahmar
W
W
Departments of Cardiology, The Melbourne Heart Centre, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Leet
A
A
Morton
J
J
D000328:Adult; D003937:Diagnosis, Differential; D004562:Electrocardiography; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis; D009205:Myocarditis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D012307:Risk Factors; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy