Case of severe acute lupus myocarditis and multiple-organ failure
| Autor: | Deepak L Vardesh, Aaron M. Hawkins, Lalith S B Jesuthasan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Myocarditis medicine.medical_treatment Critical Illness Multiple Organ Failure Shock Cardiogenic 030204 cardiovascular system & hematology law.invention Subacute cutaneous lupus erythematosus 03 medical and health sciences Electrocardiography 0302 clinical medicine law Internal medicine medicine Humans Lupus Erythematosus Systemic skin and connective tissue diseases Dialysis 030203 arthritis & rheumatology Systemic lupus erythematosus Unusual Presentation of More Common Disease/Injury business.industry Cardiogenic shock Acute kidney injury Heart General Medicine Acute Kidney Injury medicine.disease Intensive care unit Respiratory failure Cardiology Disease Progression Female business Respiratory Insufficiency |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | We report a case of severe lupus myocarditis with rapid, acute deterioration to cardiogenic shock and multiorgan failure, highlighting the importance of early identification and treatment of acute presentations in patients with systemic lupus erythematosus. A 31-year-old woman with previously diagnosed subacute cutaneous lupus erythematosus initially presented with abdominal pain and frank per-rectal bleeding. She deteriorated rapidly with type 1 respiratory failure and acute kidney injury requiring dialysis secondary to acute cardiac failure with a prolonged intensive care unit admission, over a month. A significantly elevated troponin, global hypokinesia on echocardiogram and normal coronary artery angiogram and cardiac MRI lead to the diagnosis of acute lupus myocarditis as the cause for the cardiogenic shock. She was treated with high-dose corticosteroids and eventually made a full recovery, with cardiac function returning to normal. |
| Databáze: | OpenAIRE |
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