Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-23T14:11:21.184Z Has data issue: false hasContentIssue false
  • English
  • Français

Myocardial ischaemia in a child infected with influenza B

Published online by Cambridge University Press:  22 April 2005

Lars Grosse-Wortmann  and
Eberhard G. Muehler
Lars Grosse-Wortmann
Affiliation:
Department of Pediatric Cardiology, University Hospital Aachen, Aachen, Germany
Eberhard G. Muehler
Affiliation:
Department of Pediatric Cardiology, University Hospital Aachen, Aachen, Germany
Get access Rights & Permissions [Opens in a new window]

Abstract

Cardiac involvement is a rare complication of infection by the influenza B virus. It usually presents with ventricular dysfunction, arrhythmias, or both. We report a 13-year-old boy with clinical, electrocardiographic, and laboratory findings of myocardial ischaemia during an otherwise silent acute infection with influenza B. Coronary endothelial injury constituted a potential underlying mechanism, and microthrombosis was promoted by high levels of lipoprotein(a) in the serum.

Keywords

Viral infectionlipoprotein(a)myocarditis
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 2 , March 2005 , pp. 226 - 228
Copyright
© 2005 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Craver RD, Sorrells K, Gohd R. Myocarditis with influenza B infection. Pediatr Infect Dis J 1997; 16: 629–630.Google Scholar
Hoyer MH, Fischer DR. Acute myocarditis simulating myocardial infarction in a child. Pediatrics 1991; 87: 250–253.Google Scholar
Genzel-Boroviczeny O, Philipp E, Kuhnle-Krahl U, Cremer P. Lipoprotein(a) in children. Monatsschr Kinderheilkd 1997; 145: 911–917.Google Scholar
Uttermann G. The mysteries of lipoprotein(a). Science 1989; 246: 904–910.Google Scholar
Hornung TS, Bernard EJ, Howman-Giles RB, Sholler GF. Myocardial infarction complicating neonatal enterovirus myocarditis. J Paediatr Child Health 1999; 35: 309–312.Google Scholar
Miklozek CL, Crumpacker CS, Royal HD, Come PC, Sullivan JL, Abelmann WH. Myocarditis presenting as acute myocardial infarction. Am Heart J 1988; 115: 768–776.Google Scholar
Kelsall JT, Chalmers A, Sherlock CHTVA, Kelsall AC. Microscopic polyangiitis after influenza vaccination. J Rheumatol 1997; 24: 1198–1202.Google Scholar
Auer J, Berent R, Weber T, Eber B. Influenza virus infection, infectious burden, and atherosclerosis. Stroke 2002; 33: 1454–1455.Google Scholar
Lavallee P, Perrchaud V, Gautier-Bertrand M, Grabli D, Amarenco P. Association between influenza vaccination and reduced risk of brain infarction. Stroke 2002; 33: 513–518.Google Scholar
Ross R. Atherosclerosis – an inflammatory disease. N Engl J Med 1999; 340: 115–126.Google Scholar