Use of Emergency Department Extracorporeal Membrane Oxygenation for Treatment of Acute Necrotizing Myocarditis

Use of Emergency Department Extracorporeal Membrane Oxygenation for Treatment of Acute Necrotizing Myocarditis

We report a case of acute necrotizing eosinophilic myocarditis (ANEM) secondary to drug rash with eosinophilia and systemic symptoms (DRESS) related to administration of minocycline. Myocarditis is a rare complication of DRESS and can manifest as either a self-limited hypersensitivity myocarditis or...

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Main Authors: Carly A. Loner, Peter W. Crane
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2019-02-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/2qd1d8b4
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spelling doaj-acb26493bc54430f8300052cdb6143c02020-11-25T02:57:27ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-02-013110.5811/cpcem.2018.11.40569cpcem-03-47Use of Emergency Department Extracorporeal Membrane Oxygenation for Treatment of Acute Necrotizing MyocarditisCarly A. LonerPeter W. CraneWe report a case of acute necrotizing eosinophilic myocarditis (ANEM) secondary to drug rash with eosinophilia and systemic symptoms (DRESS) related to administration of minocycline. Myocarditis is a rare complication of DRESS and can manifest as either a self-limited hypersensitivity myocarditis or as the frequently fatal ANEM. Due to the high morbidity and mortality caused by this disease, emergency physicians should be aware of the potential of ANEM in patients with history of DRESS and new-onset cardiac dysfunction. This case reviews the clinical presentation and management of ANEM and the potential role of extracorporeal membrane oxygenation use in the emergency department.https://escholarship.org/uc/item/2qd1d8b4
collection DOAJ
language English
format Article
sources DOAJ
author Carly A. Loner
Peter W. Crane
spellingShingle Carly A. Loner
Peter W. Crane
Use of Emergency Department Extracorporeal Membrane Oxygenation for Treatment of Acute Necrotizing Myocarditis
Clinical Practice and Cases in Emergency Medicine
author_facet Carly A. Loner
Peter W. Crane
author_sort Carly A. Loner
title Use of Emergency Department Extracorporeal Membrane Oxygenation for Treatment of Acute Necrotizing Myocarditis
title_short Use of Emergency Department Extracorporeal Membrane Oxygenation for Treatment of Acute Necrotizing Myocarditis
title_full Use of Emergency Department Extracorporeal Membrane Oxygenation for Treatment of Acute Necrotizing Myocarditis
title_fullStr Use of Emergency Department Extracorporeal Membrane Oxygenation for Treatment of Acute Necrotizing Myocarditis
title_full_unstemmed Use of Emergency Department Extracorporeal Membrane Oxygenation for Treatment of Acute Necrotizing Myocarditis
title_sort use of emergency department extracorporeal membrane oxygenation for treatment of acute necrotizing myocarditis
publisher eScholarship Publishing, University of California
series Clinical Practice and Cases in Emergency Medicine
issn 2474-252X
publishDate 2019-02-01
description We report a case of acute necrotizing eosinophilic myocarditis (ANEM) secondary to drug rash with eosinophilia and systemic symptoms (DRESS) related to administration of minocycline. Myocarditis is a rare complication of DRESS and can manifest as either a self-limited hypersensitivity myocarditis or as the frequently fatal ANEM. Due to the high morbidity and mortality caused by this disease, emergency physicians should be aware of the potential of ANEM in patients with history of DRESS and new-onset cardiac dysfunction. This case reviews the clinical presentation and management of ANEM and the potential role of extracorporeal membrane oxygenation use in the emergency department.
url https://escholarship.org/uc/item/2qd1d8b4
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AT peterwcrane useofemergencydepartmentextracorporealmembraneoxygenationfortreatmentofacutenecrotizingmyocarditis
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