Lourenço Guilherme, Pimentel João, Trigo Conceição, Pinto Fátima F
Paediatric Cardiology Department, Congenital Heart Disease Reference Centre, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.
Anatomic Pathology Department, Hospital de São José, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.
Cardiol Young. 2022 Jun;32(6):1010-1012. doi: 10.1017/S1047951121004327. Epub 2021 Dec 6.
A previously healthy 15-year-old teenage boy was admitted for fever and heart failure. Myocarditis was suspected, and endomyocardial biopsy revealed giant cell myocarditis. Immunosuppressive treatment was initiated, with excellent response. A plausible link to previous leptospirosis was identified. At 18-month follow-up, left ventricular function is normal. Only one other reported case of paediatric giant cell myocarditis had such a favourable outcome.