Successfully Treated Acute Fulminant Myocarditis Induced by Ulcerative Colitis with Extracorporeal Life Support and Infliximab.

Journal of cardiovascular ultrasound Pub Date : 2016-06-01 Epub Date: 2016-06-22 DOI:10.4250/jcu.2016.24.2.163
Han-Kyul Kim, Kun Il Kim, Sung Won Jung, Hee-Sun Mun, Jung Rae Cho, Namho Lee, Min-Kyung Kang
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引用次数: 8

Abstract

We report a case of successfully treated acute fulminant myocarditis induced by ulcerative colitis with extracorporeal life support and infliximab. Myocarditis is a rare but crucial complication during an exacerbation of inflammatory bowel disease. In our case, we applied extracorporeal membrane oxygenation (ECMO) for cardiac rest under impression of acute myocarditis associated with ulcerative colitis, and added infliximab for uncontrolled inflammation by corticosteroid. As a result, our patient was completely recovered with successful weaning of ECMO.

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体外生命支持联合英夫利昔单抗治疗溃疡性结肠炎致急性暴发性心肌炎成功。
我们报告一例成功治疗急性暴发性心肌炎溃疡性结肠炎诱导体外生命支持和英夫利昔单抗。心肌炎是一种罕见但重要的并发症在炎症性肠病恶化。在我们的病例中,我们在溃疡性结肠炎合并急性心肌炎的情况下应用体外膜氧合(ECMO)进行心脏休息,并添加英夫利昔单抗治疗皮质类固醇引起的无法控制的炎症。结果,我们的患者完全康复,并成功脱机ECMO。
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