Fulminant lymphocytic myocarditis associated with orbital myositis and diaphragmatic paralysis.
Although the clinical presentation of myocarditis is very diverse, ranging from mild dyspnea to hemodynamic collapse, myocarditis accompanied with extracardiac myositis is extremely rare. We report a single case of fulminant myocarditis associated with orbital myositis and diaphragmatic paralysis in a 40-year-old man, which was successfully managed by immunosuppressive therapy with steroid.
Dept of Cardiology, Korea University Anam Hospital, Seoul, Republic of Korea.
Oh Hong
OH
Kwon
Dept of Cardiology, Korea University Anam Hospital, Seoul, Republic of Korea. Electronic address: alsk1229@gmail.com.
Mi-Na
MN
Kim
Dept of Cardiology, Korea University Anam Hospital, Seoul, Republic of Korea.
Su-A
SA
Kim
Dept. of Neurology, Korea University Anam Hospital, Seoul, Republic of Korea.
Hung Youl
HY
Seok
Dept of Cardiology, Korea University Anam Hospital, Seoul, Republic of Korea.
Seong-Mi
SM
Park
Dept. of Neurology, Korea University Anam Hospital, Seoul, Republic of Korea.
Byung-Jo
BJ
Kim
Dept. of Pathology, Korea University Anam Hospital, Seoul, Republic of Korea.
Chul-Hwan
CH
Kim
Dept of Cardiology, Korea University Anam Hospital, Seoul, Republic of Korea.
Wan-Joo
WJ
Shim
Dept of Cardiology, Korea University Anam Hospital, Seoul, Republic of Korea.
Ju Sung
JS
Shim
Dept of Cardiology, Korea University Anam Hospital, Seoul, Republic of Korea.
Min-Gu
MG
Lee
D000328:Adult; D001706:Biopsy; D004172:Diplopia / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008214:Lymphocytes / Q000276:immunology / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009205:Myocarditis / Q000150:complications* / Q000188:drug therapy / Q000276:immunology / Q000473:pathology; D009206:Myocardium / Q000276:immunology / Q000473:pathology*; D055622:Orbital Myositis / Q000175:diagnosis / Q000209:etiology*; D012133:Respiratory Paralysis / Q000175:diagnosis / Q000209:etiology*; D013256:Steroids; D016896:Treatment Outcome
D007166:Immunosuppressive Agents; D013256:Steroids
Diaphragmatic paralysis; Fulminant lymphocytic myocarditis; Orbital myositis