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A case of fulminant myocarditis associated with novel N1H1 influenza successfully treated by percutaneous cardiopulmonary support system

tetano

Editor, Senior Moderator
Journal of Cardiology Cases
Volume 2, Issue 2, October 2010, Pages e106-e110
doi:10.1016/j.jccase.2010.05.004 | How to Cite or Link Using DOI
Cited By in Scopus (0)
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Case Report
A case of fulminant myocarditis associated with novel N1H1 influenza successfully treated by percutaneous cardiopulmonary support system

Ryota Morimoto MDa, Corresponding Author Contact Information, E-mail The Corresponding Author, Takahito Sone MD, FJCCa, Hideyuki Tsuboi MDa, Hiroaki Mukawa MDa, Itsuro Morishima MDa, Michitaka Uesugi MDa, Hiromi Sasaki MDa, Toru Niwa MDa, Yuusuke Izumi MDa, Toshihiko Yamamoto MDa, Kei Ichihashi MDa, Yasunori Kanzaki MDa, Hiroaki Nagai MDa, Yosuke Iwata MDb
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a Department of Cardiology, Ogaki Municipal Hospital, 4-86 Minaminokawa-cho, Ogaki 503-0864, Japan
b Department of Pathology, Ogaki Municipal Hospital, Ogaki, Japan

Received 14 February 2010; revised 29 April 2010; Accepted 10 May 2010. Available online 9 August 2010.
Summary

We report a case of fulminant myocarditis associated with N1H1 influenza virus infection. N1H1 was confirmed by a polymerase chain reaction assay and she was treated with oseltamivir phosphate. She was admitted to the hospital because of respiratory distress, however, echocardiography revealed severely depressed wall motion followed by refractory ventricular fibrillation. Extracorporeal circulation by emergent percutaneous cardiopulmonary support system was required to maintain hemodynamic stability. Cardiac function was spontaneously and gradually restored within a week. Findings from biopsy samples taken on day 1 and day 23 were consistent with acute myocarditis.

http://www.sciencedirect.com/science/article/pii/S1878540910000356
 
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