title: Repetitive fulminant influenza myocarditis requiring the use of circulatory assist devices.
abstract: A 52-year-old man was admitted to our hospital due to shortness of breath that developed one week after the diagnosis of influenza infection. He had a past history of myocarditis associated with influenza B infection 16 years before the current admission. The patient's left ventricular function showed diffuse hypokinesis with a left ventricular ejection fraction of 28%. Due to the progression of heart failure, the infusion of catecholamines and insertion of an intra-aortic balloon pump were required. The patient was discharged uneventfully on the 23rd hospital day. A significant increase in the serum antibody titer against influenza A virus subtype H3N2 led to a diagnosis of recurrent fulminant influenza myocarditis.
authors.affiliation: Department of Cardiology, Osaka Medical College, Japan.
authors.forename: Natsuko
authors.initials: N
authors.lastname: Yoshimizu
authors.forename: Tomo
authors.initials: T
authors.lastname: Tominaga
authors.forename: Takahide
authors.initials: T
authors.lastname: Ito
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Nishida
authors.forename: Yuki
authors.initials: Y
authors.lastname: Wada
authors.forename: Koichi
authors.initials: K
authors.lastname: Sohmiya
authors.forename: Suguru
authors.initials: S
authors.lastname: Tanaka
authors.forename: Kensaku
authors.initials: K
authors.lastname: Shibata
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Kanzaki
authors.forename: Akira
authors.initials: A
authors.lastname: Ukimura
authors.forename: Hideaki
authors.initials: H
authors.lastname: Morita
authors.forename: Masaaki
authors.initials: M
authors.lastname: Hoshiga
authors.forename: Nobukazu
authors.initials: N
authors.lastname: Ishizaka
mesh_terms: D000146:Acids, Carbocyclic; D000328:Adult; D000914:Antibodies, Viral / Q000097:blood; D000998:Antiviral Agents / Q000627:therapeutic use; D002395:Catecholamines / Q000627:therapeutic use; D003517:Cyclopentanes / Q000627:therapeutic use; D004417:Dyspnea / Q000209:etiology; D004562:Electrocardiography; D006146:Guanidines / Q000627:therapeutic use; D006353:Heart-Assist Devices; D006439:Hemodynamics; D006801:Humans; D053122:Influenza A Virus, H3N2 Subtype / Q000276:immunology; D009981:Influenza B virus / Q000276:immunology; D007251:Influenza, Human / Q000150:complications* / Q000188:drug therapy; D007423:Intra-Aortic Balloon Pumping; D008279:Magnetic Resonance Imaging; D008297:Male; D009205:Myocarditis / Q000209:etiology / Q000601:surgery*; D010493:Pericarditis / Q000209:etiology; D012008:Recurrence; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000209:etiology
chemical_list: D000146:Acids, Carbocyclic; D000914:Antibodies, Viral; D000998:Antiviral Agents; D002395:Catecholamines; D003517:Cyclopentanes; D006146:Guanidines; C414210:peramivir