CASE REPORT


Myocarditis in a Young Patient with Celiac Disease; A Case Report and Literature Review



Gard M.S. Myrmel1, Torbjørn Lunde1, *, Vernesa Dizdar2, 3, Terje H. Larsen1, Sahrai Saeed1
1 Department of Heart Disease, Haukeland University Hospital, Bergen, Norway
2 Emergency Care Clinic, Haukeland University Hospital, Bergen, Norway
3 Department of Medicine, Haukeland University Hospital, Bergen, Norway


© 2021 Myrmel et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Heart Disease, Haukeland University Hospital, Bergen, Norway;
E-mail: torbjorn.lunde@helse-bergen.no


Abstract

Myocarditis has numerous aetiologies, and Celiac Disease (CD) has been described as a rare cause. CD has received little attention in current guidelines and may be underdiagnosed. We report a case involving a 28-year-old male with myocarditis causing severe left ventricular dysfunction and dilatation that was probably related to CD. This case highlights the importance of screening for CD in patients presenting with myocarditis and signs of malabsorption when other common causes are excluded. Besides optimal medical treatment and cardiac resynchronization therapy, a gluten-free diet and immunosuppression may also be effective measures in the management of CD-related myocarditis.

Keywords: Myocarditis, Celiac disease, Dilated cardiomyopathy, Autoimmune disease, Ejection fraction, Pro-brain natriuretic Peptide, Inflammatory disease of the myocardium.