Recurrent Fulminant Viral Myocarditis With a Short Clinical Course

Hitoshi Takehana; Takayuki Inomata; Sadahito Kuwao; Jun-ichi Nakahata; Takeshi Sasaki; Mototsugu Nishii; Shingo Kurokawa; Tohru Izumi

doi:10.1253/circj.67.646

Case Report

Recurrent Fulminant Viral Myocarditis With a Short Clinical Course

Hitoshi Takehana, Takayuki Inomata, Sadahito Kuwao, Jun-ichi Nakahata, Takeshi Sasaki, Mototsugu Nishii, Shingo Kurokawa, Tohru Izumi

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Keywords: Cardiac troponin T, Influenza A virus, Recurrent fulminant myocarditis

JOURNAL FREE ACCESS

2003 Volume 67 Issue 7 Pages 646-648

DOI https://doi.org/10.1253/circj.67.646

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Abstract

A 75-year-old man recovered from an episode of acute influenza. A myocarditis with a normalized level of serum cardiac troponin T, but less than 2 weeks after recovery, he rapidly fell into cardiogenic shock and died of fulminant myocarditis. The autopsied heart showed marked inflammatory cell infiltration that mainly consisted of mononuclear cells positive for CD8, suggesting that the second bout of myocarditis was caused by viral re-infection. (Circ J 2003; 67: 646 - 648)

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