The Korean journal of internal medicine

The Korean Association of Internal Medicine (대한내과학회)
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Hypersensitivity myocarditis confirmed by cardiac magnetic resonance imaging and endomyocardial biopsy

  • Park, Yumi (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Ahn, Sung Gyun (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Ko, Anna (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Ra, Sang Ho (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Cha, Jaehwang (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Jee, Yong Gwan (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Lee, Ji Hyun (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
  • Received : 2012.08.20
  • Accepted : 2012.10.24
  • Published : 2014.03.01
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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.

Keywords

References

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