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Published on: May 19, 2020
Transient left ventricular "hypertrophy" in a woman with meningoencephalitis
Micha Maeder1, Thomas Wolber, Hans Rickli
1Division of Cardiology, Department of Internal Medicine, Kantonsspital St. Gallen, Switzerland. micha.maeder@bluewin.ch
Abstract:
We report the echocardiographic findings in a 27-year-old woman with viral meningoencephalitis and a positive test for cardiac troponin. Initially, the basal parts of the left ventricle were severely hypokinetic, whereas contraction in the mid-ventricle and apex was normal. A second echocardiogram obtained 19 days after the development of pulmonary edema showed a generalized, severe myocardial thickening, the left ventricular ejection fraction being normal. Three months after the initial examination the "hypertrophy" had disappeared. The serial echocardiograms along with a positive cardiac troponin led to the diagnosis of myocarditis, which can very rarely present with the echocardiographic picture of severe left ventricular thickening.
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