Giant cell myocarditis masquerading as orbital myositis with a rapid, fulminant course necessitating mechanical support and heart transplantation.

Abstract

Giant cell myocarditis (GCM), a rapidly progressive inflammation of the myocardium, is associated with fulminant heart failure, refractory ventricular arrhythmias, and conduction system abnormalities. Few case reports have noted orbital myositis as the initial clinical presentation. Our case demonstrates a unique presentation of GCM with only ocular symptoms, which unlike prior studies, rapidly progressed to heart failure, tachyarrhythmias, and conduction disease. Our case necessitated quick recognition and treatment with mechanical support making this the first known case of GCM with successful placement of biventricular assist devices and ultimately with heart transplantation.

• Authors: Vinisha Garg, Weiyi Tan, Reza Ardehali, Janki Shah, Tracy Huynh, Olcay Aksoy
• Journal: ESC heart failure (ESC Heart Fail) Vol. 4 Issue 3 Pg. 371-375 (Aug 2017) ISSN: 2055-5822 [Electronic] England
• PMID: 28772042 (Publication Type: Case Reports)
• Copyright: © 2017 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.