크론병 환자에서 Coxsackie Virus B 감염에 의한 급성 확장성 심근병증 1예 = A Case of Acute Dilated Cardiomyopathy Caused by Coxsackie Virus B in a Patient with Crohn`s Disease

다국어 초록 (Multilingual Abstract)

A 23-year-old man was admitted for watery diarrhea, abdominal pain and fever. He had received an operation for an anal fistula at a private clinic about 3 years ago. Recently, he was treated under the diagnosis of tuberculosis colitis for about 15 months at another hospital, but showed no improvement. He lost 30 kg of weight for last 18 months. On admission, he was 178 cm high and weighed 50 kg. He had a pararectal abscess and a fistula between terminal ileum and sigmoid colon. He was diagnosed as Crohn's disease. After taking 2 weeks of medications composed with sulfasalazine, corticosteroid, 6-mercaptopurine and antibiotics, his condition improved rapidly and gained 5 kg of weight. On the 6th hospital week, he complained of dyspnea on exertion and orthopnea. His chest X-ray revealed a marked cardiomegaly, while his heart was normal in size and shape. He was diagnosed as dilated cardiomyopathy caused by coxsackie virus B, which was confirmed by serologic test. He died at the 46th hospital day. We report this case with a review of literature.