Coxsackie B2 Virus Infection Causing Multiorgan Failure and Cardiogenic Shock in a 42-Year-Old Man.
Tex Heart Inst J
; 46(1): 32-35, 2019 02.
Article
in En
| MEDLINE
| ID: mdl-30833835
ABSTRACT
Infections from coxsackie B2 viruses often cause viral myocarditis and, only rarely, multisystem organ impairment. We present the unusual case of a 42-year-old man in whom coxsackie B2 virus infection caused multiorgan infection, necessitating distal pancreatectomy, splenectomy, renal dialysis, and venoarterial extracorporeal membrane oxygenation with mechanical ventilation. In addition, the patient had a rapid-eye-movement sleep-related conduction abnormality that caused frequent sinus pauses of longer than 10 s, presumably due to myocarditis from the coxsackievirus infection. He recovered after permanent pacemaker placement and was discharged from the hospital. We discuss our aggressive supportive care and the few other reports of multiorgan impairment from coxsackieviruses.
Key words
Acute disease; coxsackievirus infections/complications/diagnosis/pathology; disease progression; multiple organ failure/etiology; myocarditis/complications/etiology/pathology; pancreatitis/complications; sinus arrest, cardiac/physiopathology; sleep, REM; treatment outcome; virus diseases/complications
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Shock, Cardiogenic
/
Coxsackievirus Infections
/
Multiple Organ Failure
Type of study:
Diagnostic_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Tex Heart Inst J
Year:
2019
Document type:
Article