The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Acute Pericarditis with Pericardial Effusion That Developed after Swine Influenza A (H1N1) Infection in a Healthy Adult

건강한 성인에서 인플루엔자 A (H1N1)에 감염에 의해 발생한 급성 심장막염 1예

  • Oh, Chi Hyuk (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Kim, Jin-Bae (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Kim, Yu Jin (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Lee, Taein (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Byun, Jong Kyu (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Kim, Kwon Sam (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Kim, Woo-Shik (Department of Internal Medicine, Kyung Hee University School of Medicine)
  • 오치혁 (경희대학교 의학전문대학원 내과학교실) ;
  • 김진배 (경희대학교 의학전문대학원 내과학교실) ;
  • 김유진 (경희대학교 의학전문대학원 내과학교실) ;
  • 이태인 (경희대학교 의학전문대학원 내과학교실) ;
  • 변종규 (경희대학교 의학전문대학원 내과학교실) ;
  • 김권삼 (경희대학교 의학전문대학원 내과학교실) ;
  • 김우식 (경희대학교 의학전문대학원 내과학교실)
  • Received : 2013.06.17
  • Accepted : 2013.10.14
  • Published : 2014.10.01
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Abstract

A 21-year-old male with no any other diseases presented with fever, chills, and chest discomfort. A chest radiography scan and a transthoracic echocardiogram revealed a large amount of pericardial effusion. An H1N1 viral real-time PCR test confirmed the presence of H1N1 viral infection. Pericardiocentesis was performed to reduce symptoms, and oseltamivir (Tamiflu$^{TM}$) was administered. His symptoms improved during the first 4 days, and there was no relapse of the pericardial effusion. The most common manifestation of influenza A infection is respiratory tract infection. Although a cardiovascular manifestation is possible, it is extremely rare. We have reported here a case of acute pericarditis with a large amount of pericardial effusion in a healthy adult infected with influenza A virus (H1N1, swine-origin).

인플루엔자 A (H1N1) 감염은 대부분 호흡기증세를 동반한 형태로 발현되며 대부분 기저질환이 있거나 노인 등의 고위험군에서 발생한다. 최근 저자들은 기저질환이 없는 건강한 성인 남성에서 인플루엔자 A (H1N1) 감염에 의한 많은 양의 심장막삼출을 동반한 급성 심장막염을 경험하였다. 이에 이번 증례와 함께 그동안 발표된 증례를 중심으로 고찰하였다. 드물긴 하지만 인플루엔자 A 감염에 의한 급성 심장막염의 발생이 가능함을 염두에 두고 항바이러스치료제와 함께 적절한 치료방법을 선택해야 할 것이다.

Keywords

References

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