Myocarditis and Autoimmune Disease Development Following Bariatric Surgery: A Possible Nutritional Deficiency Link
Zainab Al Bahrani
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia and King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia.
Abdulaziz Sarawi
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia, King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia and King Saud bin Abdulaziz University for Health Sciences, COAMS-A, Al Ahsa, Saudi Arabia.
Hani Abu Shanab
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia and King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia.
Ayman F. Soliman *
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia, King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia and King Saud bin Abdulaziz University for Health Sciences, COAMS-A, Al Ahsa, Saudi Arabia.
Ali A. Al Qarni
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia, King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia and King Saud bin Abdulaziz University for Health Sciences, COAMS-A, Al Ahsa, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Post bariatric surgery induced myocarditis in setting of autoimmune disease is rarely encountered in clinical practice. However, till date only few data of bariatric surgery induced myocarditis in setting of connective tissue disease (CTD) have been available. The following report illustrates the case of a 39-year-old female suffering from myositis who exhibited a nutritional deficiency myocarditis following biliopancreatic diversion surgery (BPD). The mechanism of myocarditis in patients suffering from CTD is incompletely understood. In this case we are going to try to found a relation between bariatric surgery, myocarditis and connective tissue disease and urges cautious action before surgery performance in the setting of suspected nutritional deficiencies and in connective tissue disease (CTD) as injudicious act might increase the risk of deleterious myocarditis and increase the mortality.
Keywords: Myocarditis, autoimmune disease, biliopancreatic diversion, nutritional deficiency