Coxsackie B5 infection in an adult with fever, truncal rash, diarrhea and splenomegaly with highly elevated ferritin levels.
Coxsackie viruses are enteroviruses most common in children. Coxsackie B viral infections often present with biphasic fever, headache, pharyngitis, nausea/vomiting, diarrhea and a maculopapular rash that spares the palms and soles. These clinical features may be present in other viral infections. We present a case of a hospitalized adult with rash and fever with highly elevated ferritin levels later found to be due to Coxsackie B5. We believe this is the first case of Coxsackie B infection with otherwise unexplained highly elevated ferritin levels.
Infectious Disease Division, Winthrop-University Hospital, Mineola, New York, United States; State University of New York, School of Medicine, Stony Brook, New York, United States.
Paul K
PK
Valestra
Infectious Disease Division, Winthrop-University Hospital, Mineola, New York, United States; State University of New York, School of Medicine, Stony Brook, New York, United States.
Scarlet Herrarte
SH
Fornos
Infectious Disease Division, Winthrop-University Hospital, Mineola, New York, United States; State University of New York, School of Medicine, Stony Brook, New York, United States.
John
J
Gian
Infectious Disease Division, Winthrop-University Hospital, Mineola, New York, United States; State University of New York, School of Medicine, Stony Brook, New York, United States.
Burke A
BA
Cunha
Adult Coxsackie B5 infection; Elevated ferritin levels; Splenomegaly