Inhalant-Abuse Myocarditis Diagnosed by Cardiac Magnetic Resonance.
Multiple reports of toxic myocarditis from inhalant abuse have been reported. We now report the case of a 23-year-old man found to have toxic myocarditis from inhalation of a hydrocarbon. The diagnosis was made by means of cardiac magnetic resonance imaging with delayed enhancement. The use of cardiac magnetic resonance to diagnose myocarditis has become increasingly common in clinical medicine, although there is not a universally accepted criterion for diagnosis. We appear to be the first to document a case of toxic myocarditis diagnosed by cardiac magnetic resonance. In patients with a history of drug abuse who present with clinical findings that suggest myocarditis or pericarditis, cardiac magnetic resonance can be considered to support the diagnosis.
William
W
Dinsfriend
Krishnasree
K
Rao
Susan
S
Matulevicius
D000280:Administration, Inhalation; D003937:Diagnosis, Differential; D006801:Humans; D006838:Hydrocarbons / Q000008:administration & dosage / Q000506:poisoning*; D058545:Inhalant Abuse / Q000150:complications*; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods*; D008297:Male; D009205:Myocarditis / Q000139:chemically induced* / Q000175:diagnosis; D009206:Myocardium / Q000473:pathology*; D055815:Young Adult
D006838:Hydrocarbons
1,1-difluoroethane; Aerosol propellants/poisoning; arrhythmias, cardiac/chemically induced; cardiac magnetic resonance imaging; cardiomyopathies/chemically induced; hydrocarbons, fluorinated/adverse effects; inhalant abuse; myocarditis/diagnosis/etiology