A rare case of concomitant viral myocarditis and pericarditis in a 44-year-old patient
Autor: | Aleksandr Gorenbeyn, Alan Jon Smally |
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Rok vydání: | 2004 |
Předmět: |
Adult
Chest Pain Emergency Medical Services medicine.medical_specialty Myocarditis Viral Myocarditis Fever Multiple Organ Failure medicine.medical_treatment Cardiomyopathy Coxsackievirus Infections Chest pain Electrocardiography Pericarditis Fatal Outcome Cardiac tamponade Internal medicine medicine Humans Enterovirus business.industry Shock medicine.disease Pericardiocentesis Emergency Medicine Cardiology Female medicine.symptom business Myopericarditis |
Zdroj: | The Journal of Emergency Medicine. 27:355-359 |
ISSN: | 0736-4679 |
DOI: | 10.1016/j.jemermed.2004.03.017 |
Popis: | Concomitant severe myocarditis and pericarditis are under-recognized or rare. We report a case of a 44-year-old woman who presented in shock after a week of a flu-like illness and several hours of severe back pain. Emergent echocardiography revealed cardiac tamponade for which pericardiocentesis achieved transient improvement. Unfortunately, the patient died 2 days later secondary to progressive cardiomyopathy and multi-system organ failure. Post-mortem studies of the heart were consistent with coxsackie virus myocarditis. Diagnosis and treatment of myocarditis and pericarditis are discussed, including clues to detecting concurrent disease processes. |
Databáze: | OpenAIRE |
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