Fig. 2

Serial transthoracic echocardiographic studies. A–E views: first admission and later follow-ups. On arrival, there was a large amount of pericardial effusion in addition to left ventricular systolic dysfunction. During the hospital course and then after, there were improvements in the amount of pericardial effusion, as well as thickness and systolic function of the myocardium. F–K views: second admission and later follow-ups. On arrival, there was systolic dysfunction in addition to scanty thinning of the ventricular myocardium. Later in and out of the hospital, there were improvements in the myocardial thickness, as well as the systolic function of the myocardium