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Myocardial ischaemia in a child infected with influenza B

Published online by Cambridge University Press:  22 April 2005

Lars Grosse-Wortmann  and
Eberhard G. Muehler
Lars Grosse-Wortmann
Affiliation:
Department of Pediatric Cardiology, University Hospital Aachen, Aachen, Germany
Eberhard G. Muehler
Affiliation:
Department of Pediatric Cardiology, University Hospital Aachen, Aachen, Germany
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Abstract

Cardiac involvement is a rare complication of infection by the influenza B virus. It usually presents with ventricular dysfunction, arrhythmias, or both. We report a 13-year-old boy with clinical, electrocardiographic, and laboratory findings of myocardial ischaemia during an otherwise silent acute infection with influenza B. Coronary endothelial injury constituted a potential underlying mechanism, and microthrombosis was promoted by high levels of lipoprotein(a) in the serum.

Keywords

Viral infectionlipoprotein(a)myocarditis

Information

Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 2 , March 2005 , pp. 226 - 228
Copyright
© 2005 Cambridge University Press

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References

Craver RD, Sorrells K, Gohd R. Myocarditis with influenza B infection. Pediatr Infect Dis J 1997; 16: 629–630.Google Scholar
Hoyer MH, Fischer DR. Acute myocarditis simulating myocardial infarction in a child. Pediatrics 1991; 87: 250–253.Google Scholar
Genzel-Boroviczeny O, Philipp E, Kuhnle-Krahl U, Cremer P. Lipoprotein(a) in children. Monatsschr Kinderheilkd 1997; 145: 911–917.Google Scholar
Uttermann G. The mysteries of lipoprotein(a). Science 1989; 246: 904–910.Google Scholar
Hornung TS, Bernard EJ, Howman-Giles RB, Sholler GF. Myocardial infarction complicating neonatal enterovirus myocarditis. J Paediatr Child Health 1999; 35: 309–312.Google Scholar
Miklozek CL, Crumpacker CS, Royal HD, Come PC, Sullivan JL, Abelmann WH. Myocarditis presenting as acute myocardial infarction. Am Heart J 1988; 115: 768–776.Google Scholar
Kelsall JT, Chalmers A, Sherlock CHTVA, Kelsall AC. Microscopic polyangiitis after influenza vaccination. J Rheumatol 1997; 24: 1198–1202.Google Scholar
Auer J, Berent R, Weber T, Eber B. Influenza virus infection, infectious burden, and atherosclerosis. Stroke 2002; 33: 1454–1455.Google Scholar
Lavallee P, Perrchaud V, Gautier-Bertrand M, Grabli D, Amarenco P. Association between influenza vaccination and reduced risk of brain infarction. Stroke 2002; 33: 513–518.Google Scholar
Ross R. Atherosclerosis – an inflammatory disease. N Engl J Med 1999; 340: 115–126.Google Scholar