Unusual echocardiographic features seen in a case of giant cell myocarditis

Minisha Kochar, Angel López-Candales, Gautam Ramani, Navin Rajagopalan, Kathy Edelman

Research output: Contribution to journalLetterpeer-review

1 Scopus citations


The case of an 18-year-old college football player with a recent history of streptococcal pharyngitis who was experiencing progressive disabling dyspnea on exertion with easy fatigability and lack of stamina, and was taken to the hospital after a syncopal episode is described. The patient was initially diagnosed with heart failure and treated accordingly. However, because of a fulminant clinical deterioration, an endomyocardial biopsy was recommended, which showed focal giant cell transformation consistent with giant cell myocarditis. Treatment with methylprednisolone and cyclosporine was promptly initiated. Several apical clots were noted during treatment, but the patient attained full recovery with treatment.

Original languageEnglish
Pages (from-to)855-856
Number of pages2
JournalCanadian Journal of Cardiology
Issue number11
StatePublished - 2008


  • Echocardiography
  • Giant cell myocarditis
  • Histology

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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