Intern Med . Influenza-associated Fulminant Myocarditis Complicated by Guillain-Barr? Syndrome

[tetano]

Intern Med


. 2020 Jun 23.
doi: 10.2169/internalmedicine.4950-20. Online ahead of print.
Influenza-associated Fulminant Myocarditis Complicated by Guillain-Barr? Syndrome


Yusuke Morita ¹ , Akihiro Endo ¹ , Satoshi Inagaki ¹ , Kazuaki Tanabe ¹



Affiliations

• PMID: 32581169
• DOI: 10.2169/internalmedicine.4950-20

Free article

Abstract

We herein report the case of a 47-year-old woman who was admitted with weakness and numbness of the limbs and dyspnea after being infected with influenza virus A. She had a history of Guillain-Barr? syndrome (GBS) 7 years prior to this presentation. On admission, she was in shock, and transthoracic echocardiography showed severely reduced left-ventricular function. She was diagnosed with fulminant myocarditis by an endomyocardial biopsy, which was complicated by GBS. Venoarterial extracorporeal membrane oxygenation was required to manage the cardiogenic shock. After her condition improved, immunoadsorption for GBS was performed, and the motor and sensory disorders gradually improved.

Keywords: Guillain-Barr? syndrome; extracorporeal membrane oxygenation; fulminant myocarditis; immunoadsorption; influenza virus.