Rapidly Progressive Cardiac Failure Due to Giant Cell Myocarditis

HSS Journal - Volume 11, Number 2, July 2015

Sonali Narain, MD, MPH
Hospital for Special Surgery, New York, NY

Ersilia M. DeFilippis, BA
Weill Cornell Medical College, New York, NY

Irina Sobol, MD
Weill Cornell Medical College, New York, NY

Navneet Narula, MD
Weill Cornell Medical College, New York, NY

Image - Photo of Anne R. Bass, MD
Anne R. Bass, MD
Program Director, Rheumatology Fellowship Program, Hospital for Special Surgery
Attending Physician, Hospital for Special Surgery
Image - Photo of Doruk Erkan, MD, MPH
Doruk Erkan, MD, MPH
Associate Attending Rheumatologist, Hospital for Special Surgery
Associate Physician-Scientist, Barbara Volcker Center for Women and Rheumatic Disease

Clinical Presentation

A 56-year-old Hispanic female from the Dominican Republic with no history of cardiac disease presented to an outside hospital in November 2012 with fever, abdominal pain, nausea, and vomiting.

One year prior to admission, the patient developed frequent flu-like symptoms with subjective fever, chills, diaphoresis, and myalgias. These symptoms would last about 1 week and resolve spontaneously. The patient’s daughter described at least six such episodes in the past year. She denied any exertional dyspnea, palpitations, chest pain, exercise intolerance, orthopnea, paroxysmal nocturnal dyspnea, or lower extremity edema.

This article appears in the HSS Journal: Volume 11, Issue 2.
View the full HSS Journal article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.

 

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