1. A case of biopsy-proven eosinophilic myocarditis related to tetanus toxoid immunization.
- Author
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Yamamoto, Hiroyuki, Hashimoto, Toru, Ohta-Ogo, Keiko, Ishibashi-Ueda, Hatuse, Imanaka-Yoshida, Kyoko, Hiroe, Michiaki, and Yokochi, Tomoki
- Subjects
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MYOCARDITIS , *BIOPSY , *TETANUS toxin , *ADRENOCORTICAL hormones , *IMMUNIZATION - Abstract
Abstract Vaccine-associated myocarditis is an extremely rare, yet potentially lethal disease, which requires early diagnosis and prompt treatment. However, its pathogenesis remains elusive. We report the first case of biopsy-proven eosinophilic myocarditis related to tetanus toxoid immunization, with unique histopathologic findings, characterized by perivascular eosinophilic infiltrates with myocyte necrosis and abundant interstitial lymphocytic infiltrates with myocyte necrosis, separately. A systemic high-dose corticosteroid treatment had a dramatic beneficial effect on hemodynamic instability and resulted in complete recovery. This case highlights the value of endomyocardial biopsy in establishing a definite diagnosis and understanding the pathogenesis of vaccine-associated myocarditis. Highlights • Acute eosinophilic myocarditis may be induced by tetanus toxoid immunization. • An endomyocardial biopsy is critical for early diagnosis and prompt treatment. • The clinical significance of vaccine-associated myocarditis should be recognized. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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