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HARLEY P. PALMER, MD; ISAAC E. MICHAEL, MD

Arch Intern Med. 1965;116(3):444-447.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SINCE the first description of giant-cell myocarditis in 1905 by Saltykow, 21 additional cases have been reported in the English literature through 1963.^1-9 It is the purpose of this paper to record a case having multiple organ involvement and to emphasize the giant-cell arteritis seen in the myocardium.

Report of a Case

The present illness of this 36-year-old white female began on Sept 1, 1961, with nausea, vomiting, and diarrhea. She improved with supportive and symptomatic treatment until Sept 3, when she experienced a sudden onset of dyspnea and tachycardia with an apical rate of more than 200 beats per minute. Orthopnea and cyanosis then ensued and she entered Indianapolis Methodist Hospital in a critical state. Physical examination revealed cyanosis, difficulty in breathing, gallop rhythm, and shock. She died in refractory congestive heart failure 16 hours after entering the hospital.

A thyroidectomy was performed at age 15 years because . . . [Full Text PDF of this Article]

Author Affiliations
INDIANAPOLIS

From the departments of pathology and internal medicine, Methodist Hospital Graduate Medical Center. Clinical Pathologist (Dr. Palmer); Staff Physician, Internal Medicine (Dr. Michael).

Footnotes
Received for publication December 1964; accepted Jan 14, 1965.

Reprint requests to 1604 N Capitol Ave, Indianapolis 46207 (Dr. Palmer).

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