Fulminant myocarditis associated with novel H1N1 influenza A
Abstract Myocarditis secondary to H1N1 influenza has been described in children, but only very rarely in adults. We describe a 36-year-old man with no significant medical history who presented with flu-like symptoms of 3-week duration. When he sought medical attention, he was already manifesting hea...
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Veröffentlicht in: | Heart & lung 2011-11, Vol.40 (6), p.566-568 |
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description | Abstract Myocarditis secondary to H1N1 influenza has been described in children, but only very rarely in adults. We describe a 36-year-old man with no significant medical history who presented with flu-like symptoms of 3-week duration. When he sought medical attention, he was already manifesting heart failure secondary to fulminant myocarditis, along with multiorgan failure. Despite aggressive management, including circulatory support with a catheter-based mechanical cardiac assist device (Impella 2.5 Cardiac Assist Device, Abiomed, Danvers, MA) as a bridge to cardiac transplant, and aggressive antiviral and antibacterial therapy, the patient died of cardiac arrest. An H1N1 polymerase chain reaction postmortem assay produced positive results, and a diagnosis of fulminant viral myocarditis and multiorgan system failure was established. |
doi_str_mv | 10.1016/j.hrtlng.2011.01.004 |
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We describe a 36-year-old man with no significant medical history who presented with flu-like symptoms of 3-week duration. When he sought medical attention, he was already manifesting heart failure secondary to fulminant myocarditis, along with multiorgan failure. Despite aggressive management, including circulatory support with a catheter-based mechanical cardiac assist device (Impella 2.5 Cardiac Assist Device, Abiomed, Danvers, MA) as a bridge to cardiac transplant, and aggressive antiviral and antibacterial therapy, the patient died of cardiac arrest. An H1N1 polymerase chain reaction postmortem assay produced positive results, and a diagnosis of fulminant viral myocarditis and multiorgan system failure was established.</description><identifier>ISSN: 0147-9563</identifier><identifier>EISSN: 1527-3288</identifier><identifier>DOI: 10.1016/j.hrtlng.2011.01.004</identifier><identifier>PMID: 21411147</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adult ; Adults ; Anti-Bacterial Agents - therapeutic use ; Antiviral Agents ; Cardiomegaly ; Cardiovascular ; Cardiovascular disease ; Critical Care ; Fatal Outcome ; Fulminant myocarditis ; H1N1 virus ; Heart Arrest ; Heart failure ; Heart Failure - etiology ; Humans ; Influenza A Virus, H1N1 Subtype ; Influenza, Human - complications ; Male ; Medical treatment ; Multiple Organ Failure ; Myocarditis - complications ; Myocarditis - diagnosis ; Myocarditis - virology ; Pulmonary/Respiratory ; Swine flu</subject><ispartof>Heart & lung, 2011-11, Vol.40 (6), p.566-568</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Nov/Dec 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-ae0b81290ebcb8a52ddfd48b3215101b11e3e253d52c2186dd29b4b1fa79068f3</citedby><cites>FETCH-LOGICAL-c443t-ae0b81290ebcb8a52ddfd48b3215101b11e3e253d52c2186dd29b4b1fa79068f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0147956311000069$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21411147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khouzam, Rami N., MD, FACC, FACP, FASNC, FASE</creatorcontrib><creatorcontrib>Parizianu, Constantin, MD</creatorcontrib><creatorcontrib>Hafiz, Abdul Moiz, MBBS</creatorcontrib><creatorcontrib>Chawla, Shalinee, MD</creatorcontrib><creatorcontrib>Schwartz, Richard, MD, FACC</creatorcontrib><title>Fulminant myocarditis associated with novel H1N1 influenza A</title><title>Heart & lung</title><addtitle>Heart Lung</addtitle><description>Abstract Myocarditis secondary to H1N1 influenza has been described in children, but only very rarely in adults. We describe a 36-year-old man with no significant medical history who presented with flu-like symptoms of 3-week duration. When he sought medical attention, he was already manifesting heart failure secondary to fulminant myocarditis, along with multiorgan failure. Despite aggressive management, including circulatory support with a catheter-based mechanical cardiac assist device (Impella 2.5 Cardiac Assist Device, Abiomed, Danvers, MA) as a bridge to cardiac transplant, and aggressive antiviral and antibacterial therapy, the patient died of cardiac arrest. An H1N1 polymerase chain reaction postmortem assay produced positive results, and a diagnosis of fulminant viral myocarditis and multiorgan system failure was established.</description><subject>Adult</subject><subject>Adults</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antiviral Agents</subject><subject>Cardiomegaly</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Critical Care</subject><subject>Fatal Outcome</subject><subject>Fulminant myocarditis</subject><subject>H1N1 virus</subject><subject>Heart Arrest</subject><subject>Heart failure</subject><subject>Heart Failure - etiology</subject><subject>Humans</subject><subject>Influenza A Virus, H1N1 Subtype</subject><subject>Influenza, Human - complications</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Multiple Organ Failure</subject><subject>Myocarditis - complications</subject><subject>Myocarditis - diagnosis</subject><subject>Myocarditis - virology</subject><subject>Pulmonary/Respiratory</subject><subject>Swine flu</subject><issn>0147-9563</issn><issn>1527-3288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU9P3DAQxa2KqizQb4CqiAunbD22k3WkCmmF-Ceh9lB6thx7At46DtgJaPvp62gpBy61RvLBv3njeY-QY6BLoFB_3Swf4ujD_ZJRgCXNRcUHsoCKrUrOpNwjCwpiVTZVzffJQUobmg-vV5_IPgMBkB8X5Nvl5HsXdBiLfjsYHa0bXSp0SoNxekRbvLjxoQjDM_riGr5D4ULnJwx_dLE-Ih877RN-fr0Pya_Li7vz6_L2x9XN-fq2NELwsdRIWwmsodiaVuqKWdtZIVvOoMqrtADIkVXcVswwkLW1rGlFC51eNbSWHT8kpzvdxzg8TZhG1btk0HsdcJiSko2UvAHBM3nyjtwMUwz5c6qhnDEhgGZI7CATh5Qiduoxul7HrQKqZm_VRu28VbO3iuaiIrd9edWe2h7tW9M_MzNwtgMwe_HsMKpkHAaD1kU0o7KD-9-E9wLGu-CM9r9xi-ltFVCJKap-zvnO8QLM0dYN_wuyK59c</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Khouzam, Rami N., MD, FACC, FACP, FASNC, FASE</creator><creator>Parizianu, Constantin, MD</creator><creator>Hafiz, Abdul Moiz, MBBS</creator><creator>Chawla, Shalinee, MD</creator><creator>Schwartz, Richard, MD, FACC</creator><general>Mosby, Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>Fulminant myocarditis associated with novel H1N1 influenza A</title><author>Khouzam, Rami N., MD, FACC, FACP, FASNC, FASE ; Parizianu, Constantin, MD ; Hafiz, Abdul Moiz, MBBS ; Chawla, Shalinee, MD ; Schwartz, Richard, MD, FACC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-ae0b81290ebcb8a52ddfd48b3215101b11e3e253d52c2186dd29b4b1fa79068f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antiviral Agents</topic><topic>Cardiomegaly</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Critical Care</topic><topic>Fatal Outcome</topic><topic>Fulminant myocarditis</topic><topic>H1N1 virus</topic><topic>Heart Arrest</topic><topic>Heart failure</topic><topic>Heart Failure - etiology</topic><topic>Humans</topic><topic>Influenza A Virus, H1N1 Subtype</topic><topic>Influenza, Human - complications</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Multiple Organ Failure</topic><topic>Myocarditis - complications</topic><topic>Myocarditis - diagnosis</topic><topic>Myocarditis - virology</topic><topic>Pulmonary/Respiratory</topic><topic>Swine flu</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khouzam, Rami N., MD, FACC, FACP, FASNC, FASE</creatorcontrib><creatorcontrib>Parizianu, Constantin, MD</creatorcontrib><creatorcontrib>Hafiz, Abdul Moiz, MBBS</creatorcontrib><creatorcontrib>Chawla, Shalinee, MD</creatorcontrib><creatorcontrib>Schwartz, Richard, MD, FACC</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Heart & lung</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khouzam, Rami N., MD, FACC, FACP, FASNC, FASE</au><au>Parizianu, Constantin, MD</au><au>Hafiz, Abdul Moiz, MBBS</au><au>Chawla, Shalinee, MD</au><au>Schwartz, Richard, MD, FACC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fulminant myocarditis associated with novel H1N1 influenza A</atitle><jtitle>Heart & lung</jtitle><addtitle>Heart Lung</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>40</volume><issue>6</issue><spage>566</spage><epage>568</epage><pages>566-568</pages><issn>0147-9563</issn><eissn>1527-3288</eissn><abstract>Abstract Myocarditis secondary to H1N1 influenza has been described in children, but only very rarely in adults. We describe a 36-year-old man with no significant medical history who presented with flu-like symptoms of 3-week duration. When he sought medical attention, he was already manifesting heart failure secondary to fulminant myocarditis, along with multiorgan failure. Despite aggressive management, including circulatory support with a catheter-based mechanical cardiac assist device (Impella 2.5 Cardiac Assist Device, Abiomed, Danvers, MA) as a bridge to cardiac transplant, and aggressive antiviral and antibacterial therapy, the patient died of cardiac arrest. An H1N1 polymerase chain reaction postmortem assay produced positive results, and a diagnosis of fulminant viral myocarditis and multiorgan system failure was established.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>21411147</pmid><doi>10.1016/j.hrtlng.2011.01.004</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Adults Anti-Bacterial Agents - therapeutic use Antiviral Agents Cardiomegaly Cardiovascular Cardiovascular disease Critical Care Fatal Outcome Fulminant myocarditis H1N1 virus Heart Arrest Heart failure Heart Failure - etiology Humans Influenza A Virus, H1N1 Subtype Influenza, Human - complications Male Medical treatment Multiple Organ Failure Myocarditis - complications Myocarditis - diagnosis Myocarditis - virology Pulmonary/Respiratory Swine flu |
title | Fulminant myocarditis associated with novel H1N1 influenza A |
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