Reversible cardiomyopathy after high-dose interleukin-2 therapy

J Immunother (1991). 1992 Apr;11(3):225-9. doi: 10.1097/00002371-199204000-00010.

Abstract

We observed two patients who developed moderate global myocardial dysfunction during therapy with high-dose interleukin-2 (IL-2). Although cardiac enzymes became markedly elevated at the completion of a full course of IL-2, patients exhibited no ischemic symptoms. Serial echocardiography documented global myocardial dysfunction, which resolved in 5 days in one patient but persisted beyond 4 weeks in another. Asymptomatic reversible myocardial injury can occur with high-dose IL-2 and can persist beyond 4 weeks after stopping therapy. Review of the literature suggests an IL-2-associated myocarditis as an etiology.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Carcinoma, Renal Cell / therapy
  • Cardiomyopathies / blood
  • Cardiomyopathies / chemically induced*
  • Cardiomyopathies / pathology
  • Creatine Kinase / blood
  • Echocardiography
  • Female
  • Humans
  • Immunologic Factors / adverse effects*
  • Interleukin-2 / adverse effects*
  • Kidney Neoplasms / therapy
  • Male
  • Melanoma / therapy
  • Middle Aged
  • Recombinant Proteins / adverse effects
  • Ventricular Function, Left

Substances

  • Immunologic Factors
  • Interleukin-2
  • Recombinant Proteins
  • Creatine Kinase