PT  - JOURNAL ARTICLE
AU  - Giacomo Caio
AU  - Lisa Lungaro
AU  - Fabio Caputo
AU  - Maria Muccinelli
AU  - Maria Caterina Marcello
AU  - Eleonora Zoli
AU  - Umberto Volta
AU  - Roberto De Giorgio
AU  - Giorgio Zoli
TI  - Recurrent myocarditis in a patient with active ulcerative colitis: a case report and review of the literature
AID  - 10.1136/bmjgast-2020-000587
DP  - 2021 Mar 01
TA  - BMJ Open Gastroenterology
PG  - e000587
VI  - 8
IP  - 1
4099  - http://bmjopengastro.bmj.com//content/8/1/e000587.short
4100  - http://bmjopengastro.bmj.com//content/8/1/e000587.full
SO  - BMJ Open Gastro2021 Mar 01; 8
AB  - Inflammatory bowel diseases such as ulcerative colitis (UC) may be complicated by several extraintestinal manifestations. These involve joints, skin, eyes and less commonly lungs and heart. Myocarditis may result from the toxic effect of drugs (ie, mesalazine) commonly used for the treatment of UC or due to infections (eg, Coxsackieviruses, enteroviruses, adenovirus). Here, we report a case of a 26-year old man affected by UC and complicated by two episodes of myocarditis. Both episodes occurred during two severe exacerbations of UC. However, in both cases the aetiology of myocarditis remains uncertain being ascribable to extraintestinal manifestation, drug toxicity or both.