Mesalamine-Induced Myocarditis and Coronary Vasculitis in a Pediatric Ulcerative Colitis Patient : A Case Report
Joint Authors
Wilmot, Ivan
Miller, Michelle
Dadlani, Gul H.
Perez-Colon, Elimarys
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-12-21
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Mesalamine-containing products are often a first-line treatment for ulcerative colitis.
Severe adverse reactions to these products, including cardiovascular toxicity, are rarely seen in pediatric patients.
We present a case of a 16-year-old boy with ulcerative colitis treated with Asacol, a mesalamine-containing product, who developed sudden onset chest pain after four weeks on therapy.
Serial electrocardiograms showed nonspecific ST segment changes, an echocardiogram showed mildly decreased left ventricular systolic function with mild to moderate left ventricular dilation and coronary ectasia, and his troponins were elevated.
Following Asacol discontinuation, his chest pain resolved, troponins were trending towards normal, left ventricular systolic function normalized, and coronary ectasia improved within 24 hours suggesting an Asacol-associated severe drug reaction.
Mesalamine-induced cardiovascular toxicity, although rare, may represent a life-threatening disorder.
Therefore, every patient presenting with acute chest pain should receive a workup to rule out this rare drug-induced disorder.
American Psychological Association (APA)
Perez-Colon, Elimarys& Dadlani, Gul H.& Wilmot, Ivan& Miller, Michelle. 2011. Mesalamine-Induced Myocarditis and Coronary Vasculitis in a Pediatric Ulcerative Colitis Patient : A Case Report. Case Reports in Pediatrics،Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-478522
Modern Language Association (MLA)
Perez-Colon, Elimarys…[et al.]. Mesalamine-Induced Myocarditis and Coronary Vasculitis in a Pediatric Ulcerative Colitis Patient : A Case Report. Case Reports in Pediatrics No. 2011 (2011), pp.1-5.
https://search.emarefa.net/detail/BIM-478522
American Medical Association (AMA)
Perez-Colon, Elimarys& Dadlani, Gul H.& Wilmot, Ivan& Miller, Michelle. Mesalamine-Induced Myocarditis and Coronary Vasculitis in a Pediatric Ulcerative Colitis Patient : A Case Report. Case Reports in Pediatrics. 2011. Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-478522
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478522