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Acute myocarditis associated with novel Middle East respiratory syndrome coronavirus

Identifieur interne : 000757 ( Pmc/Curation ); précédent : 000756; suivant : 000758

Acute myocarditis associated with novel Middle East respiratory syndrome coronavirus

Auteurs : Tariq Alhogbani

Source :

RBID : PMC:6074274

Abstract

The novel Middle East respiratory syndrome coronavirus (MERS-CoV) has been identified as a cause of pneumonia; however, it has not been reported as a cause of acute myocarditis. A 60-year-old man presented with pneumonia and congestive heart failure. On the first day of admission, he was found to have an elevated troponin-I level and severe global left ventricular systolic dysfunction on echocardiography. The serum creatinine level was found mildly elevated. Chest radiography revealed in the lower lung fields accentuated bronchovascular lung markings and multiple small patchy opacities. Laboratory tests were negative for viruses known to cause myocarditis. Sputum sample was positive for MERS-CoV. Cardiovascular magnetic resonance revealed evidence of acute myocarditis. The patient had all criteria specified by the International Consensus Group on CMR in Myocarditis that make a clinical suspicion for acute myocarditis. This was the first case that demonstrated that MERS-CoV may cause acute myocarditis and acute-onset heart failure.


Url:
DOI: 10.5144/0256-4947.2016.78
PubMed: 26922692
PubMed Central: 6074274

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<p>The novel Middle East respiratory syndrome coronavirus (MERS-CoV) has been identified as a cause of pneumonia; however, it has not been reported as a cause of acute myocarditis. A 60-year-old man presented with pneumonia and congestive heart failure. On the first day of admission, he was found to have an elevated troponin-I level and severe global left ventricular systolic dysfunction on echocardiography. The serum creatinine level was found mildly elevated. Chest radiography revealed in the lower lung fields accentuated bronchovascular lung markings and multiple small patchy opacities. Laboratory tests were negative for viruses known to cause myocarditis. Sputum sample was positive for MERS-CoV. Cardiovascular magnetic resonance revealed evidence of acute myocarditis. The patient had all criteria specified by the International Consensus Group on CMR in Myocarditis that make a clinical suspicion for acute myocarditis. This was the first case that demonstrated that MERS-CoV may cause acute myocarditis and acute-onset heart failure.</p>
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<journal-id journal-id-type="nlm-ta">Ann Saudi Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Saudi Med</journal-id>
<journal-title-group>
<journal-title>Annals of Saudi Medicine</journal-title>
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<issn pub-type="ppub">0256-4947</issn>
<issn pub-type="epub">0975-4466</issn>
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<publisher-name>King Faisal Specialist Hospital and Research Centre</publisher-name>
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<article-id pub-id-type="pmid">26922692</article-id>
<article-id pub-id-type="pmc">6074274</article-id>
<article-id pub-id-type="doi">10.5144/0256-4947.2016.78</article-id>
<article-id pub-id-type="publisher-id">asm-1-78</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
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<title-group>
<article-title>Acute myocarditis associated with novel Middle East respiratory syndrome coronavirus</article-title>
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<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Alhogbani</surname>
<given-names>Tariq</given-names>
</name>
</contrib>
<aff id="af1-asm-1-78">From the Department of Cardiology, King Khalid University Hospital, Riyadh, Saudi Arabia</aff>
</contrib-group>
<author-notes>
<corresp id="c1-asm-1-78">Correspondence: Dr. Tariq Alhogbani, Department of Cardiology, King Khalid University Hospital, King Saud University, Riyadh 11352 Saudi Arabia, T: (+966) 505-245494,
<email>tariqmfh@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Jan-Feb</season>
<year>2016</year>
</pub-date>
<volume>36</volume>
<issue>1</issue>
<fpage>78</fpage>
<lpage>80</lpage>
<permissions>
<copyright-statement>Copyright © 2016, Annals of Saudi Medicine</copyright-statement>
<copyright-year>2016</copyright-year>
<license>
<license-p>This work is licensed under a
<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License</ext-link>
.</license-p>
</license>
</permissions>
<abstract>
<p>The novel Middle East respiratory syndrome coronavirus (MERS-CoV) has been identified as a cause of pneumonia; however, it has not been reported as a cause of acute myocarditis. A 60-year-old man presented with pneumonia and congestive heart failure. On the first day of admission, he was found to have an elevated troponin-I level and severe global left ventricular systolic dysfunction on echocardiography. The serum creatinine level was found mildly elevated. Chest radiography revealed in the lower lung fields accentuated bronchovascular lung markings and multiple small patchy opacities. Laboratory tests were negative for viruses known to cause myocarditis. Sputum sample was positive for MERS-CoV. Cardiovascular magnetic resonance revealed evidence of acute myocarditis. The patient had all criteria specified by the International Consensus Group on CMR in Myocarditis that make a clinical suspicion for acute myocarditis. This was the first case that demonstrated that MERS-CoV may cause acute myocarditis and acute-onset heart failure.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="f1-asm-1-78" position="float">
<label>Figure 1</label>
<caption>
<p>Chest X-ray on the third day of admission. Accentuated bronchovascular lung markings and multiple patchy opacities present in both lungs.</p>
</caption>
<graphic xlink:href="asm-1-78f1"></graphic>
</fig>
<fig id="f2-asm-1-78" position="float">
<label>Figure 2</label>
<caption>
<p>Cardiovascular magnetic resonance (CMR). Panel A shows T1w LGE image in short-axis view. Arrows point to the sub-epicardial accumulation of contrast in the inferior and lateral walls. Panel B shows T2w short-tau inversion recovery (T2w-STIR) image in a short-axis view. There is an increased myocardial signal intensity, which is more prominent in the lateral and inferior walls.</p>
</caption>
<graphic xlink:href="asm-1-78f2"></graphic>
</fig>
</floats-group>
</pmc>
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HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i   -Sk "pubmed:26922692" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd   \
       | NlmPubMed2Wicri -a MersV1 

Wicri

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