Lymphocytic myocarditis presenting as acute myocardial infarction: a case report and review of the literature

Figures

• 

  Figure 1.. Echocardiography at the first visit to a local hospital (a), on the third day at a local hospital (b), on admission to our hospital (c), and at the time of discharge (d).

• 

  Figure 2.. CMR myocardial perfusion displaying low perfusion of the anterior wall and left ventricular apex. Gadolinium-enhanced findings show obvious transmural reinforcement in the left ventricular apex and right ventricular apex. An elliptical low signal is attached to the left ventricular apex without reinforcement. CMR, cardiac magnetic resonance.

• 

  Figure 3.. Myocardial nuclear imaging revealing perfusion–metabolism mismatch in the apex and mid-inferior wall.

• 

  Figure 4.. Histopathological examination of the endomyocardial biopsy. Positive T lymphocytes shown by CD3+-positive staining (a) and (b) CD68+-positive staining (b); original magnification ×20. Diffuse inflammatory cell infiltrates and myocyte necrosis shown by hematoxylin–eosin staining; original magnification ×50.