Cardiac Tamponade and Pneumonitis as Indicators of Systemic Cobaltosis in Metal-on-Polyethylene Hip Implants

Mateusz Orzalkiewicz; Aleksandra Gorzynska; Damian Stencelewski; Monika Lica-Gorzynska; Monika Markiewicz; Francesco Saia; Zbigniew Orzalkiewicz

doi:10.12659/AJCR.947854

02 May 2025 : Case report Italy

Cardiac Tamponade and Pneumonitis as Indicators of Systemic Cobaltosis in Metal-on-Polyethylene Hip Implants

Challenging differential diagnosis, Rare disease

Mateusz Orzalkiewicz

^{AEF 1*}, Aleksandra Gorzynska^{EF 2}, Damian Stencelewski^{EF 2}, Monika Lica-Gorzynska^{ABEF 3}, Monika Markiewicz^{BDE 4}, Francesco Saia

^{EF 1}, Zbigniew Orzalkiewicz^{AEF 3}

DOI: 10.12659/AJCR.947854

Am J Case Rep 2025; 26:e947854

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Figure 4 Microscopic images of the lung showing non-granulomatous inflammatory-necrotic changes with multiple capillary microthrombi and focal hemorrhages (A) and the heart with myocardial fibrosis, cytoplasmatic vacuolization and cardiomyocyte binucleation (B).

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Cardiac Tamponade and Pneumonitis as Indicators of Systemic Cobaltosis in Metal-on-Polyethylene Hip Implants

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