ABSTRACT
<p> We report on our experience at the highly interactive special session "General Cardiology Hangout" at the 63rd Annual Scientific Session of the Japanese College of Cardiology, in which the e-portfolio system of Tokyo Medical University and a personal response system (PRS) were used to collect real-time free comments and feedback from the audience.</p><p></p><p> In order to effectively manage an interactive session at an academic meeting by collecting feedback from the audience through a PRS and free comments, it is necessary to train facilitators who have the ability to organically extract and integrate the opinions and feedback from the audience in a relevant matter, and to develop tools that are both more user-friendly and secure.</p>
ABSTRACT
A 36-year-old female with a high-grade fever and epigastric abdominal pain was prescribed antibiotics, but developed hypoxia and dyspnea. An echocardiography revealed diffuse hypokinesis and massive pericardial effusion, after which diagnostic cardiac catheterization and an endomyocardial biopsy (EMB) were peformed to reveal fibrosis and infiltration of inflammation cells composed primarily of neutrophils. Clinical manifestation of a spiking fever, leukocytosis, elevated ferritin levels, skin rash and EMB findings led to a diagnosis of adult-onset Still's disease (AOSD) with acute myocarditis. Pulse therapy of intravenous methylprednisolone was performed for three days, followed by a daily dose of prednisone (60 mg). After a course of steroid therapy for fever and pericardial effusion, and conducting a left ventricular ejection fraction, the patient showed improvement and was discharged asymptomatic within 32 days of admission. This study is the first to report on a case of myocarditis in AOSD diagnosed by neutrophil infiltration in the myocardium.
Subject(s)
Adult , Female , Humans , Abdominal Pain , Hypoxia , Anti-Bacterial Agents , Biopsy , Cardiac Catheterization , Cardiac Catheters , Diagnosis , Dyspnea , Echocardiography , Exanthema , Ferritins , Fever , Fibrosis , Heart Failure , Inflammation , Leukocytosis , Magnetic Resonance Imaging , Methylprednisolone , Myocarditis , Myocardium , Neutrophil Infiltration , Neutrophils , Pericardial Effusion , Prednisone , Still's Disease, Adult-Onset , Stroke VolumeABSTRACT
No abstract available.