Rare Presentation of Lupus Myocarditis With Acute Heart Failure-A Case Report
| Autor: | Vamsi Kodumuri, Serafin Chua, Sivashankar Sivaraman, Priya Ramdass, Gurveen Malhotra |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Myocarditis Shock Cardiogenic Pulmonary Edema 030204 cardiovascular system & hematology Methylprednisolone Pericardial Effusion 03 medical and health sciences Pericarditis 0302 clinical medicine Acute pericarditis Pre-Eclampsia immune system diseases Pregnancy Internal medicine medicine Humans Lupus Erythematosus Systemic Pharmacology (medical) skin and connective tissue diseases Glucocorticoids 030203 arthritis & rheumatology Pharmacology Heart Failure Cross Infection Systemic lupus erythematosus Lupus erythematosus business.industry Cesarean Section Cardiogenic shock Myocardium General Medicine Pneumonia medicine.disease Pulmonary edema Echocardiography Heart failure Acute Disease Cardiology Female business Respiratory Insufficiency |
| Zdroj: | American journal of therapeutics. 23(6) |
| ISSN: | 1536-3686 |
| Popis: | Systemic lupus erythematosus is an autoimmune disease with diffuse organ involvement. The cardiac complications include pericarditis, myocarditis, pulmonary hypertension, coronary vasculitis, and Libman-Sacks endocarditis. Symptomatic lupus myocarditis presenting with left ventricular dysfunction, acute heart failure, and pulmonary edema, although rare, is a life-threatening complication. We report the occurrence of acute lupus myocarditis in a 38-year-old postpartum female who had a cesarean section a week before presentation for preeclampsia. Initially she was managed for pneumonia but later found to have acute pericarditis and myocarditis related to systemic lupus erythematosus. She had a complicated hospital course including acute respiratory failure and cardiogenic shock. She was started on pulse dose steroids besides the treatment for heart failure and had a dramatic improvement within days. |
| Databáze: | OpenAIRE |
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