PMC4700760_01
Initial chest radiography demonstrated mild pulmonary infiltration over the left lung on day 1 (a). A portable chest X-ray revealed prominent bilateral infiltrates at 48 h later after admission to our hospital (b), progressed to worse picture on day 4 (c) and recovery to near-normal x ray on day 22 (d)
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Fig1
C, 112 beats/min, and 120/71 mmHg, respectively. Chest radiography revealed mild infiltrates in the left lung field (Fig. 1a). Subsequent chest radiography revealed diffuse bilateral opacities (Fig. 1b and c). His conditions gradually improved and the endotracheal tube was successfully removed on day 22 (Fig. 1d), after which he returned to an ordinary ward.
Chest CT showed diffuse air space lesions with air-bronchograms in both lungs (a) and (b)
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Fig2
Taken together the above clinical evidence, influenza B related acute respiratory distress syndrome was diagnosed (Fig. 2a, b).
T2-weighted contrast-enhanced MRI view revealed gadolinium enhancement in the left ventricular wall, especially at the anterior-inferior wall of the left ventricle, consistent with myocarditis (a)
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Fig3
Cardiac magnetic resonance imaging (MRI) showed abnormal enhancement of left ventricular wall, especially at anterior-inferior wall of the left ventricle (Fig. 3), consistent with acute myocarditis.
The time course of troponin I and CRP during the hospitalization
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Fig4
The time course of troponin I and CRP were demonstrated in Fig. 4.