Dramatic Improvement of Acute Fulminant Lymphocytic Myocarditis with Short-course Intravenous Pulse Corticosteroids: A Case Study

Figures

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  Figure 1. Electrocardiography at presentation showing sinus tachycardia with ST-segment elevation in leads III, aVF, and in leads V1-V3 with ST-segment depression in leads I and aVL

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  Figure 2. Electrocardiography at discharge showing normal sinus rhythm with no other significant changes

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  Figure 3. Chest X-ray at presentation, anteroposterior view showing huge cardiomegaly, and pulmonary congestion

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  Figure 4. Chest X-ray at discharge, anteroposterior view showing mild cardiomegaly, and resolved pulmonary congestion

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  Figure 5. M-mode transthoracic echocardiogram at presentation showing severe left ventricular dysfunction with an ejection fraction of 20%

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  Figure 6. M-mode transthoracic echocardiogram at discharge showing normalized left ventricular function with an ejection fraction of 55%

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  Figure 7. Histopathology of endomyocardial biopsy samples revealed lymphocytic myocarditis as demonstrated by the H and E

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  Figure 8. Immunohistology of endomyocardial biopsy samples confirmed diffuse infiltration of CD3+ T-cells