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[Transient cardiac failure due to infectious myocarditis].
J R Blom1, G I Andriesse, J C Hoorntje
1Isala Klinieken, locatie Weezenlanden, afd. Cardiologie, Groot Wezenland 20, 8011 JW Zwolle.
Nederlands Tijdschrift Voor Geneeskunde
|September 12, 2003
Summary
Infectious myocarditis can cause severe heart failure and shock in young adults. Early suspicion and monitoring are crucial for satisfactory recovery of left ventricle function.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Infectious myocarditis is an inflammation of the heart muscle.
- It can present with non-specific symptoms like fever and malaise.
Observation:
- Two male patients, aged 19 and 37, presented with fever, malaise, and ECG abnormalities.
- Both developed shock and severe left ventricle dysfunction, indicating myocarditis.
Findings:
- Patient A's myocarditis was caused by Neisseria meningitidis.
- Patient B's cause remained unidentified despite investigations; PCR and biopsy were not performed.
- Both patients showed satisfactory recovery of left ventricle function with treatment.
Implications:
- Infectious myocarditis should be suspected in patients with fever, malaise, and ECG changes.
- Close monitoring for severe heart failure is essential for patients diagnosed with myocarditis.