title: Fulminant myocarditis as a primary manifestation of H1N1 infection: A first reported case from Serbia.
abstract: A 19-year-old male was admitted to our clinic with a diagnosis of suspected acute pericarditis and acute coronary syndrome. The initial diagnostics at our clinic revealed fulminant myocarditis. Twenty-four hours after admission, the patient's condition deteriorated, and he required mechanical ventilation and cardiopulmonary resuscitation. Unfortunately, the patient died. Clinical course, postmortem pathohistological findings and virus serology indicated that an H1N1 viral caused fulminant myocarditis and was the primary manifestation.
authors.affiliation: Clinic for Cardiology, Clinical Center Kragujevac, Zmaj Jovina bb, Kragujevac, Serbia. Electronic address: medicusbg@yahoo.com.
authors.forename: Goran
authors.initials: G
authors.lastname: Davidović
authors.affiliation: Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, Kragujevac, Serbia.
authors.forename: Stefan
authors.initials: S
authors.lastname: Simović
authors.affiliation: Department of Pathology, Clinical Center Kragujevac, Zmaj Jovina bb, Kragujevac, Serbia.
authors.forename: Slobodanka
authors.initials: S
authors.lastname: Mitrović
authors.affiliation: Clinic for Cardiology, Clinical Center Kragujevac, Zmaj Jovina bb, Kragujevac, Serbia.
authors.forename: Violeta
authors.initials: V
authors.lastname: Irić-Ćupić
authors.affiliation: Clinic for Cardiology, Clinical Center Kragujevac, Zmaj Jovina bb, Kragujevac, Serbia.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Miloradović
mesh_terms: D016887:Cardiopulmonary Resuscitation; D017809:Fatal Outcome; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000302:isolation & purification*; D007251:Influenza, Human / Q000175:diagnosis*; D008297:Male; D009205:Myocarditis / Q000209:etiology*; D055771:Serbia; D055815:Young Adult
keywords: H1N1 infection; fulminant myocarditis