title: A survival case of invasive thymoma accompanied by acute fulminant myocarditis.
abstract: Thymomas are associated with a wide spectrum of autoimmune paraneoplastic diseases. Here we report the case of 31-year-old male with invasive thymoma, myasthenia gravis, polymyositis, and acute fulminant myocarditis that presented with cardiogenic shock requiring intra-aortic balloon pumping and percutaneous cardiopulmonary support. Corticosteroid therapy was effective. To our knowledge, this is the first case of thymoma with acute fulminant cardiomyositis that was successfully treated by assisted circulation and corticosteroids, despite a poor prognosis.
authors.affiliation: Division of Respiratory Diseases, Department of Internal Medicine, The Jikei University School of Medicine Tokyo, Japan.
authors.forename: Nayuta
authors.initials: N
authors.lastname: Saito
authors.affiliation: Division of Respiratory Diseases, Department of Internal Medicine, The Jikei University School of Medicine Tokyo, Japan.
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Shimizu
authors.affiliation: Division of Respiratory Diseases, Department of Internal Medicine, The Jikei University School of Medicine Tokyo, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Kawaishi
authors.affiliation: Division of Respiratory Diseases, Department of Internal Medicine, The Jikei University School of Medicine Tokyo, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Araya
authors.affiliation: Division of Respiratory Diseases, Department of Internal Medicine, The Jikei University School of Medicine Tokyo, Japan.
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Nakayama
authors.affiliation: Division of Respiratory Diseases, Department of Internal Medicine, The Jikei University School of Medicine Tokyo, Japan.
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Kuwano
keywords: Acute fulminant myocarditis; assisted circulation; corticosteroid; polymyositis; thymoma