case_images: PMC6136560_01
case_images: Presenting CXR showing no focal infiltrates or other evidence of cardiopulmonary disease.
case_images: CRICC2018-8026314.001.jpg
case_images: PMC6136560_01_CRICC2018-8026314.001.jpg
case_images: fig1
case_images: Initial chest X-ray (CXR) showed no acute cardiopulmonary disease (Figure 1).
case_images: Subxiphoid window on bedside echocardiography demonstrating a large pericardial effusion (indicated by the *) associated with right ventricular (RV) and right atrial (RA) collapse (indicated by the arrows).
case_images: CRICC2018-8026314.002.jpg
case_images: PMC6136560_01_CRICC2018-8026314.002.jpg
case_images: fig2
case_images: A bedside cardiac ultrasound was performed which demonstrated a large pericardial effusion with tamponade physiology (Figure 2).
case_images: (a) Immunohistochemical stain of CD3 lymphocytes in the intraventricular septum (indicated by the arrows), 400x. (b) Hemoxyline and Eosin stain of the intraventricular septum showing hemorrhage and myocyte necrosis, 400x.
case_images: CRICC2018-8026314.003.jpg
case_images: PMC6136560_01_CRICC2018-8026314.003.jpg
case_images: fig3
case_images: Immunohistochemistry revealed extensive infiltration of the myocardium with CD3 positive lymphocytes, and hemoxylin and eosin stain demonstrated hemorrhage and myocyte necrosis (Figure 3).