25 March 2024: Articles
Lymphocytic Myocarditis with Increased Left Ventricular Thickness: A Rare Presentation Mimicking Cardiac Amyloidosis
Unusual clinical course, Mistake in diagnosis
Xueting Duan A , Liangzhen Qu A , Han Chen A*DOI: 10.12659/AJCR.942760
Am J Case Rep 2024; 25:e942760
Timeline
| Time | Event |
|---|---|
| May 2023 | First admission to local hospital for recurrent chest tightness |
| Holter monitoring showed atrial flutter | |
| Treated with piperacillin/tazobactam, doxofylline, and dexamethasone | |
| May 2023–June 2023 | Electrocardiogram showed atrial fibrillation and ST/T-wave changes |
| Bedside echocardiogram demonstrated bi-atrial enlargement with a normal cardiac function | |
| July 2023 | Echocardiogram first showed increased left ventricular thickness and left ventricular diastolic dysfunction |
| A diagnosis of lymphocytic myocarditis was established based on the findings of myocardial biopsyManaged with diuretics, methylprednisolone, rivaroxaban, and amiodarone | |
| August 2023 | Patient remained fit with no symptoms. |
| However, echocardiogram showed interventricular septal hypertrophy |