Fulminant myocarditis successfully treated with high-dose immunoglobulin

被引:17
作者
Kim, HS [1 ]
Sohn, S [1 ]
Park, JY [1 ]
Seo, JW [1 ]
机构
[1] Ewha Womans Univ, Coll Med, Mokdong Hosp, Dept Pediat, Seoul 158710, South Korea
关键词
myocardits; immunoglobulin;
D O I
10.1016/j.ijcard.2003.05.037
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fulminant myocarditis is characterized by the rapid development of life-threatening congestive heart failure. Intravenous immunoglobulin (IVIG), by modulating the immune response, may be used for the treatment of acute myocarditis. We report two children with fulminant myocarditis successfully treated with a 10-h infusion of high-dose IVIG. In those cases, a dramatic clinical improvement was achieved, with both cardiac enzymes and myocardial function normalized within 1-2 weeks after treatment. (C) 2003 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:485 / 486
页数:2
相关论文
共 5 条
[1]   GAMMA-GLOBULIN TREATMENT OF ACUTE MYOCARDITIS IN THE PEDIATRIC POPULATION [J].
DRUCKER, NA ;
COLAN, SD ;
LEWIS, AB ;
BEISER, AS ;
WESSEL, DL ;
TAKAHASHI, M ;
BAKER, AL ;
PEREZATAYDE, AR ;
NEWBURGER, JW .
CIRCULATION, 1994, 89 (01) :252-257
[2]   Myocarditis [J].
Feldman, AM ;
McNamara, D .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (19) :1388-1398
[3]   NEGATIVE INOTROPIC EFFECTS OF CYTOKINES ON THE HEART MEDIATED BY NITRIC-OXIDE [J].
FINKEL, MS ;
ODDIS, CV ;
JACOB, TD ;
WATKINS, SC ;
HATTLER, BG ;
SIMMONS, RL .
SCIENCE, 1992, 257 (5068) :387-389
[4]   Intravenous immune globulin in the therapy of myocarditis and acute cardiomyopathy [J].
McNamara, DM ;
Rosenblum, WD ;
Janosko, KM ;
Trost, MK ;
Villaneuva, FS ;
Demetris, AJ ;
Murali, S ;
Feldman, AM .
CIRCULATION, 1997, 95 (11) :2476-2478
[5]   A SINGLE INTRAVENOUS-INFUSION OF GAMMA-GLOBULIN AS COMPARED WITH 4 INFUSIONS IN THE TREATMENT OF ACUTE KAWASAKI SYNDROME [J].
NEWBURGER, JW ;
TAKAHASHI, M ;
BEISER, AS ;
BURNS, JC ;
BASTIAN, J ;
CHUNG, KJ ;
COLAN, SD ;
DUFFY, CE ;
FULTON, DR ;
GLODE, MP ;
MASON, WH ;
MEISSNER, HC ;
ROWLEY, AH ;
SHULMAN, ST ;
REDDY, V ;
SUNDEL, RP ;
WIGGINS, JW ;
COLTON, T ;
MELISH, ME ;
ROSEN, FS .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (23) :1633-1639