Dissemin is shutting down on January 1st, 2025

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Korean Association of Internal Medicine, Korean journal of internal medicine, 2(29), p. 236, 2014

DOI: 10.3904/kjim.2014.29.2.236

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Hypersensitivity myocarditis confirmed by cardiac magnetic resonance imaging and endomyocardial biopsy

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Preprint: policy unknown
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Postprint: policy unknown
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Data provided by SHERPA/RoMEO

Abstract

Myocarditis often occurs due to viral infections and postviral immune-mediated responses. Hypersensitivity myocarditis is a rare form of myocarditis. Numerous drugs can induce myocarditis, which is typically reversible after withdrawal of the causative agent. Here, we report a case of hypersensitivity myocarditis that was probably triggered by amoxicillin and that resolved completely with heart failure management as well as discontinuation of the drug. A 68-year-old woman presented with acute chest pain mimicking acute coronary syndromes, but the coronary angiography was normal. A recent history of taking medications, skin rash, and peripheral eosinophilia suggested a diagnosis of hypersensitivity myocarditis, which was confirmed by cardiac magnetic resonance imaging and endomyocardial biopsy.