Korean Circ J.  2002 Jan;32(1):71-75. 10.4070/kcj.2002.32.1.71.

A Case of Hypersensitivity Myocarditis

Affiliations
  • 1Cardiology Division, Yonsei Cardiovascular Research Institute, Korea. sejoong@yumc.yonsei.ac.kr
  • 2Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Hypersensitivity myocarditis may result from an allergic reaction to a variety of agents such as antibiotics, anticonvulsants and diuretics. A diagnosis of hypersensitivity myocarditis should be considered in any patient with an ongoing allergic reaction to a drug, evidence of peripheral eosinophilia, an appearance of new electrocardiographic changes, mildly elevated cardiac enzyme, mild cardiomegaly on chest X-ray or unexplained tachycardia. This condition is rarely recognized clinically although it is occasionally diagnosed on endomyocardial biopsy. We report a 25 year-old woman with hypersensitivity myocarditis, which was diagnosed by endomyo-cardial biopsy and successfully treated by immunosuppression therapy with corticosteroids.

Keyword

Myocarditis; Biopsy; Glucocorticoids

MeSH Terms

Adrenal Cortex Hormones
Adult
Anti-Bacterial Agents
Anticonvulsants
Biopsy
Cardiomegaly
Diagnosis
Diuretics
Electrocardiography
Eosinophilia
Female
Glucocorticoids
Humans
Hypersensitivity*
Immunosuppression
Myocarditis*
Tachycardia
Thorax
Adrenal Cortex Hormones
Anti-Bacterial Agents
Anticonvulsants
Diuretics
Glucocorticoids
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