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A Fatal Case of Acute Myocardial Infarction following the Improvement of Influenza A(H1N1)pdm2009-related Acute Myocarditis


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Title: A Fatal Case of Acute Myocardial Infarction following the Improvement of Influenza A(H1N1)pdm2009-related Acute Myocarditis
Authors: Iwanaga, Naoki / Nakamura, Shigeki / Fukuda, Yuichi / Takazono, Takahiro / Imamura, Yoshifumi / Izumikawa, Koichi / Yanagihara, Katsunori / Soda, Hiroshi / Tashiro, Takayoshi / Kohno, Shigeru
Issue Date: 15-Sep-2014
Publisher: 日本内科学会 / Japanese Society of Internal Medicine
Citation: Internal Medicine, 53(18), pp2153-2157; 2014
Abstract: A 52-year-old Indian man was hospitalized due to dyspnea and a high fever caused by influenza A(H1N1) pdm2009. Elevated cardiac enzymes, a chest X-ray showing bilateral infiltrative shadows, cardiomegaly and pleural effusion and echocardiography indicating diffuse hypokinesis of the left ventricle suggested cardiac failure due to acute myocarditis. Owing to the administration of combined modality therapy, including steroids and intravenous γ-globulin, the patient's clinical symptoms of influenza completely resolved. However, he suddenly complained of epigastric pain due to acute myocardial infarction and died. This report is an educational case, the results of which suggest that greater attention should be paid to the potential for myocardial infarction even after an influenza virus infection is found to improve.
Keywords: Acute myocarditis / C-reactive protein / Excessive inflammatory cytokines / Influenza A(H1N1)pdm2009 / Myocardial infarction
URI: http://hdl.handle.net/10069/34911
ISSN: 09182918
DOI: 10.2169/internalmedicine.53.2435
Rights: © 2014 by The Japanese Society of Internal Medicine
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/34911

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