A Case of Acute Myocarditis as the Initial Presentation of Crohn's Disease
| Autor: | In Soo Oh, Bong Ki Cha, Ju Wan Kim, Gui Young Kwon, Chang Hwan Choi, Ji Hoon Park, Sae Kyung Chang, Jae Hyuk Do |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Crohn's disease Abdominal pain Myocarditis Hepatology medicine.diagnostic_test Sinus tachycardia business.industry Gastroenterology Crohn disease Case Report medicine.disease Surgery Stenosis Respiratory failure Internal medicine Intensive care medicine Cardiology medicine.symptom business Chest radiograph |
| Zdroj: | Gut and Liver |
| ISSN: | 2005-1212 1976-2283 |
| Popis: | We experienced a case of acute myocarditis as the initial presentation of Crohn's disease. A 19-year-old woman was admitted with impaired consciousness, shock, and respiratory failure. She had suffered from frequent diarrhea and abdominal pain for several years. Cardiac troponin I and creatine kinase-MB fraction levels were elevated to 5.32 and 16.66 ng/mL, respectively. A 12-lead electrocardiogram showed sinus tachycardia, and a chest radiograph revealed interstitial pulmonary edema. An echocardiogram showed dilated ventricles with akinesia of the basal to apical inferoseptal, anteroseptal, anterior, and inferior left ventricular walls and severely impaired systolic function. Intensive care with inotropic support was effective, and her clinical condition gradually improved. Two weeks later, a colonoscopy revealed ulceration with stenosis in the terminal ileum and multiple aphthous ulcers in the rectum. A biopsy of the rectum revealed non-caseating granulomatous inflammation. She was diagnosed with Crohn's disease presenting with acute myocarditis. |
| Databáze: | OpenAIRE |
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