Fulminant lymphocytic myocarditis associated with orbital myositis and diaphragmatic paralysis

Oh Hong Kwon; Mi-Na Kim; Su-A Kim; Hung Youl Seok; Seong-Mi Park; Byung-Jo Kim; Chul-Hwan Kim; Wan-Joo Shim; Ju Sung Shim; Min-Gu Lee

doi:10.1016/j.carpath.2015.08.004

Fulminant lymphocytic myocarditis associated with orbital myositis and diaphragmatic paralysis

Cardiovasc Pathol. 2016 Jan-Feb;25(1):55-8. doi: 10.1016/j.carpath.2015.08.004. Epub 2015 Aug 20.

Authors

Affiliations

¹ Dept of Cardiology, Korea University Anam Hospital, Seoul, Republic of Korea.
² Dept of Cardiology, Korea University Anam Hospital, Seoul, Republic of Korea. Electronic address: alsk1229@gmail.com.
³ Dept. of Neurology, Korea University Anam Hospital, Seoul, Republic of Korea.
⁴ Dept. of Pathology, Korea University Anam Hospital, Seoul, Republic of Korea.

PMID: 26481055
DOI: 10.1016/j.carpath.2015.08.004

Abstract

Although the clinical presentation of myocarditis is very diverse, ranging from mild dyspnea to hemodynamic collapse, myocarditis accompanied with extracardiac myositis is extremely rare. We report a single case of fulminant myocarditis associated with orbital myositis and diaphragmatic paralysis in a 40-year-old man, which was successfully managed by immunosuppressive therapy with steroid.

Keywords: Diaphragmatic paralysis; Fulminant lymphocytic myocarditis; Orbital myositis.

Publication types

Case Reports

MeSH terms

Adult
Biopsy
Diplopia / etiology
Dyspnea / etiology
Humans
Immunosuppressive Agents / therapeutic use
Lymphocytes / immunology
Lymphocytes / pathology*
Magnetic Resonance Imaging
Male
Myocarditis / complications*
Myocarditis / drug therapy
Myocarditis / immunology
Myocarditis / pathology
Myocardium / immunology
Myocardium / pathology*
Orbital Myositis / diagnosis
Orbital Myositis / etiology*
Respiratory Paralysis / diagnosis
Respiratory Paralysis / etiology*
Steroids
Treatment Outcome

Substances

Immunosuppressive Agents
Steroids