Respiratory syncytial virus myopericarditis in an immunocompetent adolescent
DOI:
https://doi.org/10.54143/jbmede.v3i2.111Keywords:
Respiratory syncytial virus infections, Myocarditis, Pericarditis, Electrocardiography, Emergency service, hospitalAbstract
Respiratory syncytial virus infection is responsible for seasonal outbreaks, usually manifested with acute respiratory disease in childhood. Acute myocarditis is a rare and underdiagnosed complication of this infection. Myocarditis has a heterogeneous clinical presentation and is related to an increased risk of ventricular arrhythmias, sudden death, and chronic dilated cardiomyopathy. This paper is a case report of confirmed myocarditis associated to respiratory syncytial virus in an immunocompetent adolescent, not classified in typical risk groups. A review of the management of myocarditis is presented, with an emphasis on diagnosis, risk stratification, etiological assessment, and treatment options.
References
Borchers AT, Chang C, Gershwin ME, Gershwin LJ. Respiratory
syncytial virus--a comprehensive review. Clin Rev Allergy
Immunol. 2013;45(3):331-79.
Miura H, Hattori F, Uchida H, Hata T, Kudo K, Sato M, et al.
Case report of severe myocarditis in an immunocompromised
child with Respiratory Syncytial Virus infection. BMC Pediatr.
;18(1):51.
Olejniczak M, Schwartz M, Webber E, Shaffer A, Perry TE. Viral
myocarditis-incidence, diagnosis and management. J Cardiothorac
Vasc Anesth. 2020;34(6):1591-601.
Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati
E, Baddour LM, et al.; GBD-NHLBI-JACC Global Burden of
Cardiovascular Diseases Writing Group. Global Burden of
Cardiovascular Diseases and Risk Factors, 1990-2019: Update
From the GBD 2019 Study. J Am Coll Cardiol. 2020;76(25):2982-
Erratum in: J Am Coll Cardiol. 2021;77(15):1958-9.
Montera MW, Karinina A, Lycurgo G, Mesquita ET, Dohmann
HF, Neto CD. Clinical and functional profile of patients with viral
miocarditis vs non viral miocarditis. J Card Fail. 2006;12:S28.
Pollack A, Kontorovich AR, Fuster V, Dec GW. Viral myocarditis--
diagnosis, treatment options, and current controversies. Nat Rev
Cardiol. 2015;12(11):670-80.
Liguori C, Farina D, Vaccher F, Ferrandino G, Bellini D, Carbone I.
Myocarditis: imaging up to date. Radiol Med. 2020;125(11):1124-34.
Griffiths C, Drews SJ, Marchant DJ. Respiratory syncytial
virus: infection, detection, and new options for prevention and
treatment. Clin Microbiol Rev. 2017;30(1):277-319.
Ammirati E, Cipriani M, Moro C, Raineri C, Pini D, Sormani P, et
al. Clinical presentation and outcome in a contemporary cohort of
patients with acute myocarditis: Multicenter Lombardy Registry.
Circulation. 2018;138(11):1088-99.
Seferović PM, Tsutsui H, McNamara DM, Ristić AD, Basso C,
Bozkurt B, et al. Heart Failure Association of the ESC, Heart
Failure Society of America and Japanese Heart Failure Society
Position statement on endomyocardial biopsy. Eur J Heart Fail.
;23(6):854-71.
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