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A case of influenza type a myocarditis that presents with ST elevation MI, cardiogenic shock, acute renal failure, and rhabdomyolysis and with rapid r

tetano

Editor, Senior Moderator
Cardiovasc Revasc Med. 2017 May 2. pii: S1553-8389(17)30160-4. doi: 10.1016/j.carrev.2017.04.017. [Epub ahead of print]
[h=1]A case of influenza type a myocarditis that presents with ST elevation MI, cardiogenic shock, acute renal failure, and rhabdomyolysis and with rapid recovery after treatment with oseltamivir and intra-aortic balloon pump support.[/h] Geladari E[SUP]1[/SUP], Papademetriou V[SUP]2[/SUP], Moore H[SUP]1[/SUP], Lu D[SUP]1[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] We present a 59-year-old black male with history of type-1 diabetes and alcohol abuse. Patient became critically ill after a 5-day period of burning throat discomfort. On arrival patient was lethargic, in cardiogenic shock with a blood pressure of 81/47mmHg. Immediate diagnoses included diabetic ketoacidosis, acute renal failure, and possible septic shock. He was intubated, resuscitated with intravenous fluids, maintained on three inotropic agents, and given empiric wide spectrum antibiotics. An ECG showed a new ST elevation MI and an echocardiogram showed severe LV dysfunction. Cardiac catheterization showed clean coronaries. With appropriate treatment patient recovered 10days later.
Published by Elsevier Inc.


[h=4]KEYWORDS:[/h] Acute myocarditis; Influenza; Shock

PMID: 29113868 DOI: 10.1016/j.carrev.2017.04.017
 
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