Buelna CC, Nava TS, Cano ZR, Ricaño CMM

Language: Spanish
References: 16
Page: 64-67
PDF size: 191.12 Kb.

ABSTRACT

Myocarditis is clinically and pathologically defined as an inflammatory myocardial disease diagnosed with histological, immunological and immunohistochemical criteria. In medical practice, physicians rely on the combination of clinical manifestations, laboratory analysis, and cardiac imaging findings for the diagnosis of myocarditis. The definitive diagnosis is made by endomyocardial biopsy. Myocarditis may spontaneously reverse, recur or become chronic, leading to about 33% of the cases tested with biopsy to dilated cardiomyopathy. The medical treatment is based on hemodynamic stability, cardiac function and the arrhythmias presented during the course of the disease. We report the case of an 18-year-old male patient with acute myocarditis associated with Streptococcus pneumoniae pneumonia.

REFERENCES

1. Caforio A, Pankuweit S, Arbustini E, Basso C, Felix S, Fu M et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2013; 34 (33): 2636-2648.

2. Caforio A, Marcolongo R, Basso C, Iliceto S. Clinical presentation and diagnosis of myocarditis. Heart. 2015; 101 (16): 1-13.

3. Kindermann I, Barth C, Mahfoud F, Ukena C, Lenski M, Yilmaz A et al. Updated of myocarditis. J Am Coll Cardiol. 2012; 59 (9): 779-792.

4. Guillén OF, Soto ME, Reyes P. Miocarditis aguda primaria. Experiencia de diez años en el Instituto Nacional de Cardiología “Ignacio Chávez”. Arch Cardiol Mex. 2005; 75 (S3): 81-88.

5. Pollack A, Kontorovich A, Fuster V, Dec GW. Viral myocarditis diagnosis, treatment options, and current controversies. Nat Rev Cardiol. 2015; 12 (11): 670-680.

6. Sagar S, Liu P, Cooper L. Myocarditis. Lancet. 2012; 379 (9817): 738-747.

7. Elamm C, Fairweather D, Cooper LT. Pathogenesis and diagnosis of myocarditis. Heart. 2012; 98 (11): 835-840.

8. Kaji M, Kuno H, Turu T, Sato Y, Oizumi K. Elevated serum myosin light chain I in influenza patients. Intern Med. 2001; 40 (7): 594-597.

9. Cooper LT, Baughman KL, Feldman AM, Frustaci A, Jessup M, Kuhl U et al. The role of endomyocardial biopsy in the management of cardiovascular disease: A scientific statement from The American Heart Association, The American College of Cardiology, and The European Society of Cardiology. Circulation. 2007; 116: 2216-2233.

10. Yilmaz A, Mahrholdt H, Athanasiadis A, Vogelsberg H, Meinhardt G, Voehringer M et al. Coronary vasospasm as the underlying cause for chest pain in patients with PVB19 myocarditis. Heart. 2008; 94 (11): 1456-1463.

11. Friedrich M, Sechtem U, Schulz-Menger J, Holmvang G, Alakija P, Cooper L et al. Cardiovascular magnetic resonance in myocarditis. J Am Coll Cardiol. 2009; 53 (17): 1475-1487.

12. Holmvang G, Dec W. CMR in myocarditis. J JCMG. 2012; 5 (5): 525-527.

13. Sinagra G, Anzini M, Pereira N, Bussani R, Finocchiaro G, Bartunek J et al. Myocarditis in clinical practice. Mayo Clin Proc. 2016; 91 (9): 1256-1266.

14. Gandhi T, Wu A, Aronoff D. Severe transient cardiomyopathy associated with community-acquired pneumonia caused by Streptococcus pneumoniae. Heart Lung. 2008; 37 (5): 394-397.

15. Mandell L, Wunderink R, Anzueto A, Barlett J, Campbelll D, Dean N et al. Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults. Clin Infect Dis. 2007; 44 (Suppl 2): S27-72.

16. Viasus D, Calatayud L, McBrown M, Ardanuy C, Carrtala J. Urinary antigen testing in community acquired pneumonia in adults: an update. Expert Rev Anti Infect Ther. 2019; 17 (2): 107-115.