Chikungunya virus-induced myopericarditis: toward an increase of dilated cardiomyopathy in countries with epidemics?
The acute stage of infection with chikungunya virus, which is characterized of fever, polyarthritis, and occasional rash, can be complicated by myocarditis, as reported in a 21-year-old woman. Persisting changes on cardiac magnetic resonance imaging one year after disease onset could lead to delayed myocardial damage. An unexpected delayed increase in dilated cardiomyopathy may be observed in countries affected by the outbreak of chikungunya virus disease during 2005-2007.
Simon
Fabrice
F
Service de Pathologie Infectieuse et Tropicale, de Cardiologie, Laboratoire de Biochimie, Hôpital d'Instruction des Armées Laveran, Marseille, France. simon-f@wanadoo.fr
Paule
Philippe
P
Oliver
Manuela
M
D000328:Adult; D018354:Alphavirus Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000914:Antibodies, Viral / Q000097:blood; D001241:Aspirin / Q000627:therapeutic use; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000209:etiology*; D002646:Chikungunya virus / Q000472:pathogenicity*; D004797:Enzyme-Linked Immunosorbent Assay / Q000379:methods; D005260:Female; D006321:Heart; D006801:Humans; D007195:Indian Ocean Islands; D008279:Magnetic Resonance Imaging / Q000379:methods; D010493:Pericarditis / Q000175:diagnosis / Q000821:virology*; D014195:Travel
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000914:Antibodies, Viral; D001241:Aspirin