An odd couple: acalculous cholecystitis masking a fulminant myocarditis.

: Acute myocarditis is an inflammatory cardiac disease with different underlying causes and a wide spectrum of clinical presentations from asymptomatic cases to sudden or rapidly evolving acute heart failure. Furthermore, the initial diagnosis can be challenging as it can mimic other respiratory or gastrointestinal disorders. We report the case of an otherwise healthy 24-year-old Caucasian man with a fulminant myocarditis successfully treated with mechanical circulatory support, which was initially misdiagnosed as an isolated uncomplicated acute acalculous cholecystitis.

[1]  L. Potena,et al.  Fulminant Versus Acute Nonfulminant Myocarditis in Patients With Left Ventricular Systolic Dysfunction. , 2019, Journal of the American College of Cardiology.

[2]  L. Cooper,et al.  Management of Myocarditis-Related Cardiomyopathy in Adults. , 2019, Circulation research.

[3]  P. Camici,et al.  Response by Ammirati et al to Letter Regarding Article, "Clinical Presentation and Outcome in a Contemporary Cohort of Patients With Acute Myocarditis". , 2019, Circulation.

[4]  G. Veronese,et al.  Acute and Fulminant Myocarditis: a Pragmatic Clinical Approach to Diagnosis and Treatment , 2018, Current Cardiology Reports.

[5]  C. Giannattasio,et al.  Clinical Presentation and Outcome in a Contemporary Cohort of Patients With Acute Myocarditis: Multicenter Lombardy Registry , 2018, Circulation.

[6]  D. Burkhoff,et al.  Mechanical Unloading by Fulminant Myocarditis: LV-IMPELLA, ECMELLA, BI-PELLA, and PROPELLA Concepts , 2018, Journal of Cardiovascular Translational Research.

[7]  P. Lancellotti,et al.  [Update on myocarditis]. , 2018, Revue medicale de Liege.

[8]  K. Higashi,et al.  Acute peri-myocarditis with an unusual initial manifestation of gallbladder edema and a profound eosinophilic surge during convalescence. , 2018, Fukushima journal of medical science.

[9]  D. Horstkotte,et al.  Fulminant Myocarditis Managed by Extracorporeal Life Support (Impella® CP): A Rare Case , 2017, Case reports in cardiology.

[10]  S. Iliceto,et al.  Myocarditis: A Clinical Overview , 2017, Current Cardiology Reports.

[11]  U. Eriksson,et al.  The Quest for New Approaches in Myocarditis and Inflammatory Cardiomyopathy. , 2016, Journal of the American College of Cardiology.

[12]  J. Bartunek,et al.  Myocarditis in Clinical Practice. , 2016, Mayo Clinic proceedings.

[13]  G. Simonetti,et al.  Pancreatitis and cholecystitis in primary acute symptomatic Epstein-Barr virus infection - Systematic review of the literature. , 2016, Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology.

[14]  G. Cocco,et al.  Acute acalculous cholecystitis and cardiovascular disease: a land of confusion , 2015, Journal of Ultrasound.

[15]  R. Blair,et al.  Mechanisms of cardiac pain. , 2015, Comprehensive Physiology.

[16]  Iain B Squire,et al.  Heart failure in younger patients: the Meta-analysis Global Group in Chronic Heart Failure (MAGGIC). , 2014, European heart journal.

[17]  K. Eze,et al.  Acute abdominal pain in patients with lassa fever: Radiological assessment and diagnostic challenges , 2014, Nigerian medical journal : journal of the Nigeria Medical Association.

[18]  Tiina Heliö,et al.  Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. , 2013, European heart journal.

[19]  George R. Marzouka,et al.  Combined use of Impella left ventricular assist device and extracorporeal membrane oxygenation as a bridge to recovery in fulminant myocarditis. , 2012, ASAIO journal.

[20]  L. Cooper,et al.  Update on myocarditis. , 2012, Journal of the American College of Cardiology.

[21]  H. Suradi,et al.  Successful use of the Impella device in giant cell myocarditis as a bridge to permanent left ventricular mechanical support. , 2011, Texas Heart Institute journal.

[22]  Soumitra R. Eachempati,et al.  Acute acalculous cholecystitis , 2003, Current gastroenterology reports.

[23]  S. Schenker,et al.  Acute acalculous cholecystitis: a review. , 2010, Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association.

[24]  D. Franzen,et al.  Complete atrioventricular block in a patient with acute cholecystitis: a case of cardio-biliary reflex? , 2009, European journal of emergency medicine : official journal of the European Society for Emergency Medicine.

[25]  N. M. Matsuda,et al.  The Chronic Gastrointestinal Manifestations of Chagas Disease , 2009, Clinics.

[26]  A. Maheshwari,et al.  Atypical manifestations of dengue , 2007, Tropical medicine & international health : TM & IH.

[27]  R. Foreman Mechanisms of cardiac pain. , 1999, Annual review of physiology.

[28]  P. Ortega Deballón,et al.  [Acute acalculous cholecystitis and acute myocardial infarct]. , 1997, Revista clinica espanola.

[29]  M. Krasna,et al.  Electrocardiographic changes in cardiac patients with acute gallbladder disease. , 1986, The American surgeon.