case_images: PMC11190069_01
case_images: EKG showing sinus rhythm with 1st-degree A-V block, right atrial enlargement, nonspecific T wave abnormality, and prolonged QT and PR intervals.
case_images: fimmu-15-1418665-g001.jpg
case_images: PMC11190069_01_fimmu-15-1418665-g001.jpg
case_images: f1
case_images: Electrocardiogram (EKG) showed sinus rhythm with 1st-degree A-V block, right atrial enlargement, nonspecific T wave abnormality, and prolonged QT and PR intervals, unchanged from outside hospital records ( Figure 1 ).
case_images: (A) Transthoracic Echocardiography showing left ventricular wall motion abnormalities, enlarged right ventricular chamber size with biventricular apical thrombi (Blue star). (B) Transthoracic Echocardiography showing severe Tricuspid Regurgitation.
case_images: fimmu-15-1418665-g002.jpg
case_images: PMC11190069_01_fimmu-15-1418665-g002.jpg
case_images: f2
case_images: Cardiac MRI with contrast showing diffuse mid to apical left ventricular subendocardial abnormal late gadolinium enhancement.
case_images: fimmu-15-1418665-g003.jpg
case_images: PMC11190069_01_fimmu-15-1418665-g003.jpg
case_images: f3
case_images: Endomyocardial biopsy showing no lymphocytic or eosinophilic infiltration or granuloma formation.
case_images: fimmu-15-1418665-g004.jpg
case_images: PMC11190069_01_fimmu-15-1418665-g004.jpg
case_images: f4
case_images: An endomyocardial biopsy was performed after steroids were given and was negative for lymphocytic or eosinophilic infiltration or granuloma formation ( Figure 4 ).