[Myocardial infarction-like electrocardiogram in acute Hantavirus infection. Suspected secondary peri-myocarditis].
METHODS
A 19-year-old man was admitted to our hospital because of fever and exhaustion. During his hospital stay he had pain in the back and flanks.


METHODS
The electrocardiogram (ECG) revealed ST-segment elevation in V1-V3, similar to that occurring in myocardial infarction. Renal function was decreased with proteinuria and the platelet count was decreased The symptoms and clinical findings aroused the suspicion of a Hantavirus infection, which was confirmed by antibody tests.


METHODS
The patient was treated symptomatically with paracetamol. After 5 days the patient felt better and had a normal temperature. The thrombocyte count and renal function normalised after 10 days in hospital.


CONCLUSIONS
In case of a suspected peril-/ myocarditis a Hantavirus infection should be considered as a possible cause, which should be clarified by antibody tests.
Solzbach
U
U
Abteilung Kardiologie und Angiologie, Ostalb-Klinikum Aalen. ulrich.solzbach@ostalb-klinikum.de
Knöpfle
N
N
Haas
H
H
D000082:Acetaminophen / Q000627:therapeutic use; D000328:Adult; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D000914:Antibodies, Viral / Q000097:blood; D001416:Back Pain; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005221:Fatigue; D005334:Fever; D005919:Glomerular Filtration Rate; D006476:Orthohantavirus / Q000276:immunology; D018778:Hantavirus Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D007668:Kidney / Q000503:physiopathology; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000503:physiopathology; D009205:Myocarditis / Q000175:diagnosis / Q000503:physiopathology / Q000821:virology*; D010976:Platelet Count; D011507:Proteinuria
D018712:Analgesics, Non-Narcotic; D000914:Antibodies, Viral; D000082:Acetaminophen