Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/724
Título: Fulminant Myocarditis Associated with Pandemic H1N1 Influenza A Virus
Outros títulos: Miocardite Fulminante Associada ao Vírus Influenza A Pandémico H1N1
Autor: Cabral, M
Brito, MJ
Conde, M
Oliveira, M
Cordeiro Ferreira, G
Palavras-chave: Resultado Fatal
Vírus da Gripe A, Subtipo H1N1
Gripe Humana
Miocardite
Pandemia
Data: 2012
Editora: Sociedade Portuguesa de Cardiologia
Citação: Rev Port Cardiol. 2012 Jul-Aug;31(7-8):517-20
Resumo: Fulminant myocarditis associated with influenza A virus is exceedingly rare, with only a few cases reported in the literature. We describe a previously healthy 10-year-old boy, with a three-day history of flu-like symptoms without antiviral treatment. He was hospitalized with dehydration and hypothermia in the context of persistent vomiting, when he suddenly developed heart failure secondary to fulminant myocarditis. Despite aggressive management, including circulatory support and cardiopulmonary resuscitation measures, the patient died of cardiogenic shock. The postmortem histopathology was compatible with a multisystem viral infection with myocarditis and pulmonary involvement, and H1N1v polymerase chain reaction was positive. The prevalence of influenza-associated fulminant myocarditis remains unknown. Findings reported in the literature raise the possibility that the novel H1N1 influenza A virus is more commonly associated with a severe form of myocarditis than previously encountered influenza strains.
Peer review: yes
URI: http://hdl.handle.net/10400.17/724
Aparece nas colecções:PED - Artigos
PAT CLIN - Artigos

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