title: Post-transfusion breathlessness in a patient with acute myeloid leukaemia.
abstract: We present a case of a 38-year-old man with acute myeloid leukaemia (AML) in remission who developed sudden-onset chest pain and shortness of breath 30 min after receiving a blood transfusion. His condition deteriorated and required transferring him to the intensive care unit. The initial differential diagnosis was wide given his immunosuppression, recent chemotherapy, hospitalised status and receipt of blood products. Extensive work up concluded Coxsackie virus-induced myopericarditis as the cause of his symptoms. He was treated with colchicine monotherapy for 3 months and remained without recurrence of pericarditis at 3 months of follow-up.
authors.affiliation: Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Arjun
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Kisan
authors.initials: K
authors.lastname: Parikh
authors.affiliation: Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Ambarish
authors.initials: A
authors.lastname: Pandey
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000209:etiology*; D003384:Coxsackievirus Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000628:therapy*; D008297:Male; D009205:Myocarditis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010493:Pericarditis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D065227:Transfusion Reaction; D016896:Treatment Outcome