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Published byLaurits Evensen Modified over 5 years ago
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Infiltrating a Traveler's Heart: A Unique Presentation of Acute Heart Failure
David Ewart, MD, Santiago Garcia, MD, Justin Peltola, MD, Kairav Vakil, MD The American Journal of Medicine Volume 129, Issue 10, Pages e223-e226 (October 2016) DOI: /j.amjmed Copyright © 2016 Elsevier Inc. Terms and Conditions
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Figure 1 Chest computed tomography angiography. Note the bronchial wall thickening, diffuse ground-glass opacities (horizontal arrows), interlobular septal thickening, mediastinal and hilar adenopathy (vertical arrows), and small pericardial effusion. The American Journal of Medicine , e223-e226DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions
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Figure 2 (A) Echocardiogram showing moderate-to-severe eccentric mitral regurgitation on day 5 of hospitalization. Left ventricular ejection fraction was 30% with anteroseptal wall motion abnormality. (B) Echocardiogram showing trivial mitral regurgitation after single dose of intravenous steroids on day 6 of hospitalization. Left ventricular ejection fraction was 55% with normal regional wall motion. The American Journal of Medicine , e223-e226DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions
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Figure 3 Endomyocardial biopsy showing eosinophilic myocarditis. Note the multifocal inflammatory infiltrates composed of eosinophils (horizontal arrow) and associated areas of edema and myocyte necrosis (vertical arrow). The American Journal of Medicine , e223-e226DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions
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