Fulminant Lymphocytic Myocarditis

ABSTRACT Fulminant lymphocytic myocarditis is rare, and affects approximately 200 people per year in the US. It is most frequently diagnosed in males between the ages of 20 and 40 years. Most patients with fulminant lymphocytic myocarditis present with severe heart failure symptoms and arrhythmias and require intensive care. The thirty day mortality rate of fulminant lymphocytic myocarditis is greater than 40%. We describe a case of fulminant lymphocytic myocarditis in a previously healthy young male. The clinical presentation highlights the aggressive nature of this inflammatory cardiomyopathy. The subsequent clinical course demonstrates an integrated medical and surgical approach to the management of cardiogenic shock as well as timely utilization of appropriate mechanical circulatory support.