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1Department of Medicine, Sungkyunkwan University School of Medicine, Cardiac and Vascular Center, Samsung Medical Center, Seoul, Korea. esjeon@smc.samsung.co.kr
A 42 year-old female with fulminant myocarditis became acutely ill following a distinct viral prodrome 2 weeks before her hospitalization. She had severe ventricular dysfunction and multiple foci of giant cell myocarditis on the histopathological study. She experienced severe hemodynamic compromise that required high-dose vasopressors, immunoglobulin and extracorporeal membrane oxygenation (ECMO). Although she was managed with aggressive pharmacologic and mechanical support and also heart transplantation, she died at hospital day 12.