Key result
Immunosuppressive therapy with prednisolone for 3 months successfully resolved prolonged active lymphocytic infiltration and abnormal 18F-FDG uptake in a patient with fulminant myocarditis.
Why the study?
Does immunosuppressive therapy guided by repeated endomyocardial biopsy and 18F-FDG PET/CT resolve prolonged active lymphocytic infiltration in a patient with fulminant myocarditis after hemodynamic recovery?
Population
A 64-year-old man with fulminant myocarditis presenting with cardiogenic shock and complete atrioventricular…
Design
Case_report
Follow-up
Approximately 281 days
Authors
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May support biopsy/PET-guided immunosuppression after recovery; hypothesis-generating and requires prospective validation before practice change.
Case Report (n=1)
No
Does immunosuppressive therapy guided by repeated endomyocardial biopsy and 18F-FDG PET/CT resolve prolonged active lymphocytic infiltration in a patient with fulminant myocarditis after hemodynamic recovery?
Repeated endomyocardial biopsy and 18F-FDG PET/CT can be useful to detect and monitor prolonged active inflammation in fulminant myocarditis, guiding successful immunosuppressive therapy even after hemodynamic recovery.
Tanimura et al. (2017) conducted a case report in Fulminant myocarditis (n=1). Prednisolone was evaluated on Resolution of lymphocytic infiltration and 18F-FDG uptake. Immunosuppressive therapy with prednisolone for 3 months successfully resolved prolonged active lymphocytic infiltration and abnormal 18F-FDG uptake in a patient with fulminant myocarditis.
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