TY - JOUR
T1 - Biopsy-proven autoimmune myocarditis in HIV-associated dilated cardiomyopathy
AU - Frustaci, Andrea
AU - Petrosillo, Nicola
AU - Francone, Marco
AU - Verardo, Romina
AU - Ippolito, Giuseppe
AU - Chimenti, Cristina
PY - 2014/12/31
Y1 - 2014/12/31
N2 - Background: Dilated cardiomyopathy occurring in HIV-infected patients raises both diagnostic and therapeutic challenging problems. Indeed myocardial involvement in HIV infection has been variously attributed to several causes, including viral, toxic, nutritional and autoimmune, but no specific treatment capable to substantially improve patients' prognosis has been recognized so far. Case Presentation: Hereby we describe the case of an autoimmune myocarditis manifesting with heart failure in a3 9-year-old man with HIV infection. Conclusion: Presence of auto-reactive myocarditis should be considered in patients with HIV-associated dilated cardiomyopathy. Its recognition by endomyocardial biopsy followed by steroid administration may result in a complete resolution of cardiac disease.
AB - Background: Dilated cardiomyopathy occurring in HIV-infected patients raises both diagnostic and therapeutic challenging problems. Indeed myocardial involvement in HIV infection has been variously attributed to several causes, including viral, toxic, nutritional and autoimmune, but no specific treatment capable to substantially improve patients' prognosis has been recognized so far. Case Presentation: Hereby we describe the case of an autoimmune myocarditis manifesting with heart failure in a3 9-year-old man with HIV infection. Conclusion: Presence of auto-reactive myocarditis should be considered in patients with HIV-associated dilated cardiomyopathy. Its recognition by endomyocardial biopsy followed by steroid administration may result in a complete resolution of cardiac disease.
KW - Biopsy (Heart)
KW - Heart failure
KW - HIV (Human immunodeficiency virus)
KW - Myocarditis
KW - Recovery of function
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U2 - 10.1186/s12879-014-0729-3
DO - 10.1186/s12879-014-0729-3
M3 - Article
C2 - 25551279
AN - SCOPUS:84924022367
VL - 14
JO - BMC Infectious Diseases
JF - BMC Infectious Diseases
SN - 1471-2334
IS - 1
M1 - 729
ER -