The Korean journal of internal medicine

  • 제27권2호
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  • Pages.216-220
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  • 2012
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  • 1226-3303(pISSN)
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  • 2005-6648(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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Acute Viral Myopericarditis Presenting as a Transient Effusive-Constrictive Pericarditis Caused by Coinfection with Coxsackieviruses A4 and B3

  • Lee, Wang-Soo (Division of Cardiology, Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Lee, Kwang-Je (Division of Cardiology, Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Kwon, Jee-Eun (Division of Cardiology, Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Oh, Min-Seok (Division of Cardiology, Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Kim, Jeong-Eun (Division of Cardiology, Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Cho, Eun-Jung (Division of Cardiology, Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Kim, Chee-Jeong (Division of Cardiology, Department of Internal Medicine, Chung-Ang University College of Medicine)
  • 발행 : 2012.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

Acute myopericarditis is usually caused by viral infections, and the most common cause of viral myopericarditis is coxsackieviruses. Diagnosis of myopericarditis is made based on clinical manifestations of myocardial (such as myocardial dysfunction and elevated serum cardiac enzyme levels) and pericardial (such as inflammatory pericardial effusion) involvement. Although endomyocardial biopsy is the gold standard for the confirmation of viral infection, serologic tests can be helpful. Conservative management is the mainstay of treatment in acute myopericarditis. We report here a case of a 24-year-old man with acute myopericarditis who presented with transient effusive-constrictive pericarditis. Echocardiography showed transient pericardial effusion with constrictive physiology and global regional wall motion abnormalities of the left ventricle. The patient also had an elevated serum troponin I level. A computed tomogram of the chest showed pericardial and pleural effusion, which resolved after 2 weeks of supportive treatment. Serologic testing revealed coxsackievirus A4 and B3 coinfection. The patient received conservative medical treatment, including nonsteroidal anti-inflammatory drugs, and he recovered completely with no complications.

키워드

참고문헌

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피인용 문헌

  1. Management of myopericarditis vol.11, pp.2, 2013, https://doi.org/10.1586/erc.12.184
  2. Diagnosis of cardiac tamponade with transesophageal echocardiography following the induction of anesthesia for suspected testicular torsion vol.18, pp.3, 2015, https://doi.org/10.4103/0971-9784.159828
  3. Myopericarditis: A Diagnosis of Uncertainty vol.6, pp.4, 2015, https://doi.org/10.14740/cr428w
  4. Effusive-constrictive pericarditis, hepatitis, and pancreatitis in a patient with possible coxsackievirus B infection: a case report vol.16, pp.None, 2012, https://doi.org/10.1186/s12879-016-1752-3
  5. Enteroviruses: Classification, diseases they cause, and approaches to development of antiviral drugs vol.82, pp.13, 2012, https://doi.org/10.1134/s0006297917130041