Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 14, Number 7, July 2023, pages 237-243


Myocarditis Related to the Use of Mesalazine

Figures

Figure 1.
Figure 1. Resting 12-lead electrocardiogram demonstrating sinus rhythm with concave ST-segment elevation in I, II, V4-6.
Figure 2.
Figure 2. Coronary angiogram revealing normal coronaries, free of significant disease. (a) LAO view of RCA. (b) LAO cranial view of LCA. LAO: left anterior oblique; RCA: right coronary artery; LCA: left coronary artery.
Figure 3.
Figure 3. T2-weighted images and LGE distribution during initial study. High intensity signal (white stars) of the basal lateral and apical septum wall segments on T2-weighted images (a, b) indicating myocardial edema, with associated LGE of the same areas (c, d), findings indicative of acute myocarditis. LGE: late gadolinium enhancement.
Figure 4.
Figure 4. LGE images, during the initial presentation and in follow-up study. LGE images show subepicardial LGE of the basal lateral and apical septum wall segments (white stars), as well as patchy LGE distribution in a nonischemic pattern with significant improvement on follow-up. LGE: late gadolinium enhancement.