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A case of acute myocarditis as the initial presentation of Crohn's disease

In Soo Oh1, Chang Hwan Choi, Ji Hoon Park

  • 1Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.

Gut and Liver
|November 22, 2012
PubMed

Insights

A rare case highlights acute myocarditis as the first sign of Crohn's disease. This presentation involved severe cardiac dysfunction and respiratory failure in a young woman, ultimately diagnosed through gastrointestinal findings.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Immunology

Background:

  • Crohn's disease is a chronic inflammatory bowel disease.
  • Cardiac manifestations in Crohn's disease are uncommon.
  • Acute myocarditis is inflammation of the heart muscle.

Purpose of the Study:

  • To report a unique case of acute myocarditis as the initial manifestation of Crohn's disease.
  • To highlight the importance of considering systemic inflammatory conditions in unexplained cardiac dysfunction.

Main Methods:

  • Case report of a 19-year-old female patient.
  • Clinical presentation: impaired consciousness, shock, respiratory failure.
  • Diagnostic workup: cardiac biomarkers, ECG, echocardiogram, colonoscopy, rectal biopsy.

Main Results:

  • Elevated cardiac troponin I and CK-MB.
  • Echocardiogram revealed severely impaired left ventricular systolic function.
  • Colonoscopy showed terminal ileum stenosis and rectal ulcers.
  • Rectal biopsy confirmed non-caseating granulomatous inflammation.

Conclusions:

  • Acute myocarditis can be the initial presentation of Crohn's disease.
  • Early recognition and multidisciplinary management are crucial for favorable outcomes.
  • This case underscores the systemic nature of Crohn's disease.

Keywords:
Crohn diseaseMyocarditis

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