PMC4708095_01
The dynamic changes of ECG: ST segments changes on leads II, III, and avF.
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His serum level of C-TnI had increased to 6.68 ng/mL, and his ECG showed sinus rhythm, and ST segments elevation on lead II, III and avF (Figure 1).
(A, B) Coronary angiography shows the coronary artery tree was unobstructed, with no embolism or obvious stenosis. (C) Aorta angiography shows the aorta was normal.
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An emergency coronary angiography was done, only to find that the coronary artery tree was unobstructed with no embolism or obvious stenosis, and further aortic angiography found the aorta was normal too (Figure 2).
(A) Adominal ultrasonography found an abscess in the liver. (B) The liver abscess was absorbed completely after percutaneous liver puncture catheter drainage.
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Abdominal ultrasonography (Figure 3) and CT scan found a liver abscess but no liquefied matter, so we modified the diagnosis to "toxic myocarditis, liver abscess, multiple organ dysfunction, septic shock".