Skip to main content
Top
Published in: Pediatric Cardiology 6/2006

01-12-2006 | CASE REPORT

Fatal Cephalosporin-Induced Acute Hypersensitivity Myocarditis

Authors: Kudakwashe R. Chikwava, Van H. Savell Jr, Theonia K. Boyd

Published in: Pediatric Cardiology | Issue 6/2006

Login to get access

Abstract

A frequently fatal, although rare, side effect of cephalosporin antibiotics is noninfectious myocarditis. We report two cases of hypersensitivity myocarditis secondary to administration of cephalosporin antibiotics. In both cases, acute hypersensitivity myocarditis was not suspected clinically, and the diagnosis was made postmortem. Histology revealed intense eosinophilic infiltration of the endomyocardium with eosinophil degranulation and myocyte damage, Clinically, death in both cases was due to cardiac failure. When suspected early, appropriate management may be lifesaving.
Literature
1.
go back to reference Aggarwal A, Bergin P, Jessup P, Kaye D (2001) Hypersensitivity myocarditis presenting as cardiogenic Shock. J Heart Lung Transplant 20:1241–1244PubMedCrossRef Aggarwal A, Bergin P, Jessup P, Kaye D (2001) Hypersensitivity myocarditis presenting as cardiogenic Shock. J Heart Lung Transplant 20:1241–1244PubMedCrossRef
2.
go back to reference Beghetti M, Wilson GJ, Bohn D, Benson L (1998) Hypersensitivity myocarditis caused by an allergic reaction to cefaclor. J Pediatri 132:172–l73CrossRef Beghetti M, Wilson GJ, Bohn D, Benson L (1998) Hypersensitivity myocarditis caused by an allergic reaction to cefaclor. J Pediatri 132:172–l73CrossRef
3.
go back to reference Billingham ME (1985) Pharmacotoxic myocardial disease: an endomyocardial study. Heart Vessels Suppl 1:278–282PubMedCrossRef Billingham ME (1985) Pharmacotoxic myocardial disease: an endomyocardial study. Heart Vessels Suppl 1:278–282PubMedCrossRef
4.
go back to reference Burke AP, Saenger J, Mullick F, Virmani R (1991) Hypersensitivity myocarditis. Arch Pathol Lab Med 115:764–769PubMed Burke AP, Saenger J, Mullick F, Virmani R (1991) Hypersensitivity myocarditis. Arch Pathol Lab Med 115:764–769PubMed
5.
go back to reference Getz MA, Subramanian R, Logemann T, Ballantyne F (1991) Acute necrotizing eosinophilic myocarditis as a manifestation of severe hypersensitivity myocarditis: antemortem diagnosis and successful treatment. Ann Intern Med 115:201–202PubMed Getz MA, Subramanian R, Logemann T, Ballantyne F (1991) Acute necrotizing eosinophilic myocarditis as a manifestation of severe hypersensitivity myocarditis: antemortem diagnosis and successful treatment. Ann Intern Med 115:201–202PubMed
6.
go back to reference Grabellus F, Mall G, Schnabel PA, et al. (2005) Immunohistochemical differentiation of eosinophilic heart diseases using antibodies against eosinophil activation markers. Histopathology 46:89–97PubMedCrossRef Grabellus F, Mall G, Schnabel PA, et al. (2005) Immunohistochemical differentiation of eosinophilic heart diseases using antibodies against eosinophil activation markers. Histopathology 46:89–97PubMedCrossRef
7.
go back to reference Kounis NG, Zavras GM, Soufras GD, Kitrou MP (1989) Hypersensitivity myocarditis. Ann Allergy 62:71–74PubMed Kounis NG, Zavras GM, Soufras GD, Kitrou MP (1989) Hypersensitivity myocarditis. Ann Allergy 62:71–74PubMed
8.
go back to reference Takkenberg JJ, Czer LS, Fishbein MC, et al. (2004) Eosinophilic myocarditis in patients awaiting heart transplantation. Crit Care Med 32:7l4–721 Takkenberg JJ, Czer LS, Fishbein MC, et al. (2004) Eosinophilic myocarditis in patients awaiting heart transplantation. Crit Care Med 32:7l4–721
9.
go back to reference Taliercio CP, Olney BA, Lie JT (1985) Myocarditis related to drug hypersensitivity. Mayo Clinic Proc 60:463–468 Taliercio CP, Olney BA, Lie JT (1985) Myocarditis related to drug hypersensitivity. Mayo Clinic Proc 60:463–468
10.
go back to reference Lie ST, Hunt D (1974) Eosinophilic endomyocarditis complicating acute myocardial infarction: involvement of the cardiac conduction system. Arch Intern Med 134:754–757PubMedCrossRef Lie ST, Hunt D (1974) Eosinophilic endomyocarditis complicating acute myocardial infarction: involvement of the cardiac conduction system. Arch Intern Med 134:754–757PubMedCrossRef
11.
go back to reference Watanabe N, Nakagawa S, Fukunaga T, et al. (2001) Acute necrotizing eosinophilic myocarditis successfully treated by high dose methylprednisolone. Jpn Circ J 65:923–926PubMedCrossRef Watanabe N, Nakagawa S, Fukunaga T, et al. (2001) Acute necrotizing eosinophilic myocarditis successfully treated by high dose methylprednisolone. Jpn Circ J 65:923–926PubMedCrossRef
Metadata
Title
Fatal Cephalosporin-Induced Acute Hypersensitivity Myocarditis
Authors
Kudakwashe R. Chikwava
Van H. Savell Jr
Theonia K. Boyd
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 6/2006
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-006-1430-0

Other articles of this Issue 6/2006

Pediatric Cardiology 6/2006 Go to the issue