RESUMEN
Hemorrhagic fever with renal syndrome (HFRS) causes arrythmia, myocarditis, atrial hemorrhage, and heart failure as a cardiac complication. But, acute myocardial infarction has not been reported yet in patient with HFRS. We here report a case of acute myocardial infarction in a young adult with HFRS. A 43-year-old man was admitted with high fever and petechiae in the trunk and extremities. He had no history of hypertension, heart disease, and diabetes mellitus. Initial electrocardiographic finding was normal. On the 4th hospital days, sudden cardiac arrest developed and he recovered promptly with cardioversion. After recovery, electrocardiography revealed ST segment elevation in II, III, and aVF. Cardiac enzymes (CPK, LDH, CK-MB, and troponin-I) were also elevated. Echocardiography showed akinesia of inferior wall of heart. He was treated with continuous veno-venous hemodiafiltraion but he expired due to multiorgan failure on the 12th hospital days.
Asunto(s)
Adulto , Humanos , Adulto Joven , Arritmias Cardíacas , Muerte Súbita Cardíaca , Diabetes Mellitus , Ecocardiografía , Cardioversión Eléctrica , Electrocardiografía , Extremidades , Fiebre , Virus Hantaan , Corazón , Cardiopatías , Insuficiencia Cardíaca , Hemorragia , Fiebre Hemorrágica con Síndrome Renal , Hipertensión , Infarto del Miocardio , Miocarditis , PúrpuraRESUMEN
Renal infarction usually occurs in patients with cardiovascular disease or connective tissue disease. But it rarely occurs in a healthy person without any underlying diseases. Here we report a case of idiopathic bilateral renal and splenic infarctions in a healthy person. A 31-year-old man was admitted because of sudden onset of both flank and diffuse abdominal pain. He had experienced same flank and abdominal pains ten days ago. He had no medical history of hypertension, heart disease, diabetes, and renal disease. He also denied history of abdominal trauma and drug ingestion. Abdominal computed tomography revealed bilateral renal infarction and concomitant splenic infarction. Both renal arteriography also demonstrated obstruction of left anterior branch and marked narrowing of right anterior branch. Electrocardiography and echocardiography were all normal. There was no evidence of systemic lupus erythematosus, antiphospholipid syndrome, and any hypercoagulable state.
Asunto(s)
Adulto , Humanos , Dolor Abdominal , Angiografía , Síndrome Antifosfolípido , Enfermedades Cardiovasculares , Enfermedades del Tejido Conjuntivo , Ingestión de Alimentos , Ecocardiografía , Electrocardiografía , Cardiopatías , Hipertensión , Infarto , Lupus Eritematoso Sistémico , Infarto del BazoRESUMEN
Renal infarction usually occurs in patients with cardiovascular disease or connective tissue disease. But it rarely occurs in a healthy person without any underlying diseases. Here we report a case of idiopathic bilateral renal and splenic infarctions in a healthy person. A 31-year-old man was admitted because of sudden onset of both flank and diffuse abdominal pain. He had experienced same flank and abdominal pains ten days ago. He had no medical history of hypertension, heart disease, diabetes, and renal disease. He also denied history of abdominal trauma and drug ingestion. Abdominal computed tomography revealed bilateral renal infarction and concomitant splenic infarction. Both renal arteriography also demonstrated obstruction of left anterior branch and marked narrowing of right anterior branch. Electrocardiography and echocardiography were all normal. There was no evidence of systemic lupus erythematosus, antiphospholipid syndrome, and any hypercoagulable state.