Broken pancreas, broken heart.

摘要: Fulminant (peri)myocarditis is a very infrequent EIM of IBD and oft en presents with sudden-onset severe congestive heart failure (4,5) . Clinical presentation variable, but in the 2 – 4 weeks before presentation, patients have fl u-like (e.g., fevers, arthalgias malaise) gastrointestinal symptoms. Laboratory fi ndings may include leukocytosis, eosinophilia, elevated levels ESR, cardiac troponin, C-reactive protein. Myocarditis these appears not to correlate disease activity (2,3) Early recognition myo(peri)carditis crucial needs prompt treatment. Treatment fulminant includes aggressive inotropic support possibly accompanied by placement an intra-aortic balloon pump / or ventricular assist device. In conclusion, this case report demonstrates occurrence lymphocytic myocarditis patient previously undiagnosed Crohn ’ s disease. It cannot be fully excluded that found was unrelated his However, reported perimyocarditis absence another explanation for strongly suggests two are related. Awareness possibility rare potentially life-threatening therefore important.