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Previous Volume 338:1608-1616 May 28, 1998 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 53-year-old man was admitted to the hospital with left ventricular dysfunction four years after receiving a cardiac transplant.

The patient had been well until 5 1/2 years earlier, when he had a severe "viral" illness with marked cardiac enlargement followed by congestive heart failure. Four years before admission, a cardiac transplantation was performed. The donor was positive for cytomegalovirus; the patient was negative for cytomegalovirus and received cytomegalovirus hyperimmune globulin and cyclosporine. Examination of the excised heart revealed hypertrophy and fibrosis of the left ventricle, without active inflammation, and minimal coronary artery disease. One month after discharge, the patient . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. John A. Jarcho's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

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