Fulminant myocarditis due to the influenza B virus in adults: Report of two cases and literature review
Abstract
Myocarditis is an inflammatory disease of the myocardium. Viral infections are the most common cause, although it can also be due to hypersensitivity reactions and autoimmune etiology, among other causes.
The clinical spectrum of the disease is varied, from an asymptomatic course, followed by chest pain, arrhythmias, and acute heart failure, to a fulminant episode. The term fulminant refers to the development of cardiogenic shock with a need for vasopressor support and inotropic or assisted circulation devices either extracorporeal membrane oxygenation (ECMO) or intra-aortic counterpulsation balloon.
About 10% of cases of heart failure due to myocarditis correspond to fulminant myocarditis.
Influenza myocarditis has been considered an infrequent condition. However, its incidence has increased since 2009 as a result of the AH1N1 pandemic; otherwise, myocarditis due to the Influenza type B virus remains an infrequent entity.
We describe the experience in a cardiovascular center of two confirmed cases of fulminant myocarditis due to influenza B that required circulatory assistance devices.
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References
Estabragh ZR, Mamas MA. The cardiovascular manifestations of influenza: A systematic review. Int J Cardiol. 2013;167:2397-403. https://doi.org/10.1016/j.ijcard.2013.01.274
Ukimura A, Izumi T, Matsumori A, Clinical Research Committee on Myocarditis Associated with 2009 Influenza A (H1N1) Pandemic in Japan organized by Japanese Circulation Society. A national survey on myocarditis associated with the 2009 influenza A (H1N1) pandemic in Japan. Circ J. 2010;74:2193-9. https://doi.org/10.1253/circj.CJ-10-0452
Hékimiam G, Jovanovic T, Bréchot N, Lebreton G, Leprince P, Trouillet JL, et al. When the heart gets the flu: Fulminant influenza B myocarditis: A case-series report and review of the literature. J Crit Care. 2018;47:61-4. https//doi.org/10.1016/j.jcrc.2018.06.001
Chang HL, Hsu JF, Tsai YM, Lin SY, Kuo HF, Yang CJ. Acute respiratory distress syndrome and acute myocarditis developed in a previously healthy adult with influenza B. BMC Pulm Med. 2016;16:1. https//doi.org/10.1186/s12890-015-0163-3
Muneuchi J, Kanaya Y, Takimoto T, Hoshina T, Kusuhara K, Hara T. Myocarditis mimicking acute coronary syndrome following influenza B virus infection: A case report. Cases J. 2009;2:6809. https//doi.org/10.4076/1757-1626-2-6809
Taremi M, Amoroso A, Nace HL, Gilliam BL. Influenza B-induced refractory cardiogenic shock: A case report. BMC Infect Dis. 2013;13:452. https//doi.org/10.1186/1471-2334-13-452
Geladari EV, Vallianou NG, Kratimenos Th, Trigkidis K, Kokkinakis E. Myocarditis due to influenza B virus: The importance of early antiviral therapy. J Cardiol Clin Res. 2016;4:1079.
Siskin M, Rao S, Rapkiewicz A, Bangalore S, Garshick M. A case of cardiogenic shock secondary to complement-mediated myopericarditis from influenza B infection. Can J Cardiol. 2017;33:1335. https//doi.org/10.1016/j.cjca.2017.06.006
Frank H, Wittekind C, Liebert UG, Siekmeyer M, Siekmeyer W, Schuster V, et al. Lethal influenza B myocarditis in a child and review of the literature for pediatric age groups. Infection. 2010;38:231-5. https//doi.org/10.1007/s15010-010-0013-4
Dalton HJ. Fighting the flu: The rise of the machine. Pediatr Crit Care Med. 2004;5:415-7. https//doi.org/10.1097/01.PCC.0000128886.08534.9E
Tabbutt S, Leonard M, Godinez RI, Sebert M, Cullen J, Spray TL, et al. Severe influenza B myocarditis and myositis. Pediatr Crit Care Med. 2004;5:403-6. https//doi.org/10.1097/01.PCC.0000123555.10869.09
Akhtar N, Ni J, Stromberg D, Rosenthal GL, Bowles NE, Towbin JA. Tracheal aspirate as a substrate for polymerase chain reaction detection of viral genome in childhood pneumonia and myocarditis. Circulation. 1999;99:2011-8.
Shetty AK, Desselle B. A child with chest pain. Clin Pediatr (Phila). 1998;37:317-9. https://doi.org/10.1177/000992289803700507
Craver RD, Sorrells K, Gohd R. Myocarditis with influenza B infection. Pediatr Infect Dis J. 1997;16:629-30.
Yoshimizu N, Tominaga T, Ito T, Nishida Y, Wada Y, Sohmiya K, et al. Repetitive fulminant influenza myocarditis requiring the use of circulatory assist devices. Intern Med. 2014;53:109-14. https://doi.org/10.2169/internalmedicine.53.1117
McGregor D, Henderson S. Myocarditis, rhabdomyolysis and myoglobinuric renal failure complicating influenza in a young adult. N Z Med J. 1997;110:237.
Ray CG, Icenogle TB, Minnich LL, Copeland JG, Grogan TM. The use of intravenous ribavirin to treat influenza virus-associated acute myocarditis. J Infect Dis. 1989;159:829-36. Erratum in: J Infect Dis. 1989;160:564.
Mertz D, Kim TH, Johnstone J, Lam PP, Science M, Kuster SP, et al. Populations at risk for severe or complicated influenza illness: Systematic review and meta-analysis. BMJ. 2013;347:f5061. https://doi.org/10.1136/bmj.f5061
Datta R, Helou E, Tucker M, Blessy J, Martinello R, Malinis M. Detection of influenza myocarditis using national healthcare safety network surveillance definitions accounting for fever in older adults. Infect Control Hosp Epidemiol. 2018;39:1145-7. https://doi.org/10.1017/ice.2018.147
Lai CC, Wang CY, Lin HI. Rhabdomyolysis and acute kidney injury associated with 2009 pandemic influenza A(H1N1). Am J Kidney Dis. 2010;55:615.https://doi.org/10.1053/j.ajkd.2010.01.002
Ayala E, Kagawa FT, Wehner JH, Tam J, U padhyay D. Rhabdomyolysis associated with 2009 influenza A(H1N1). JAMA. 2009;302:1863-4. https://doi.org/10.1001/jama.2009.1582
Rezkalla SH, Kloner RA. Influenza-related viral myocarditis. WMJ. 2010;109:209-13.
Ginsberg F, Parrillo JE. Fulminant myocarditis. Crit Care Clin. 2013;29:465-83. https://doi.org/10.1016/j.ccc.2013.03.004
Liu PP, Mason JW. Advances in the understanding of myocarditis. Circulation. 2001;104:1076-82.
Reddy J, Massilamany C, Buskiewicz I, Huber SA. Autoimmunity in viral myocarditis. Curr Opin Rheumatol. 2013;25:502-8. https://doi.org/10.1097/BOR.0b013e3283620036
Ukimura A, Ooi Y, Kanzaki Y, Inomata T, Izumi T. A national survey on myocarditis associated with influenza H1N1pdm2009 in the pandemic and postpandemic season in Japan. J Infect Chemother. 2013;19:426-31. https://doi.org/10.1007/s10156-012-0499-z
Cooper LT. Myocarditis. N Engl J Med. 2009;360:1526-38. https://doi.org/10.1056/NEJMra0800028
Domínguez F, Kühl U, Pieske B, García P, Tschöpe C. Actualización sobre miocarditis y miocardiopatía inflamatoria: el resurgir de la biopsia endomiocárdica. Rev Esp Cardiol. 2016; 69:178-87. https://doi.org/10.1016/j.recesp.2015.10.018
Mavrogeni S, Manoussakis MN. Myocarditis as a complication of influenza A (H1N1): Evaluation using cardiovascular magnetic resonance imaging. Hellenic J Cardiol. 2010;51:379-80.
Felker GM, Boehmer JP, Hruban RH, Hutchins GM, Kasper EK, Baughman KL, et al. Echocardiographic findings in fulminant and acute myocarditis. J Am Coll Cardiol. 2000;36:227-32. https://doi.org/10.1016/S0735-1097(00)00690-2
Leone O, Veinot JP, Angelini A, Baandrup UT, Basso C, Berry G, et al. 2011 consensus statement on endomyocardial biopsy from the Association for European Cardiovascular Pathology and the Society for Cardiovascular Pathology. Cardiovasc Pathol. 2012;21:245-74. https://doi.org/10.1016/j.carpath.2011.10.001
Ginocchio CC. Detection of respiratory viruses using non-molecular based methods. J Clin Virol. 2007;40(Suppl.1):S11-4. https://doi.org/10.1016/S1386-6532(07)70004-5
Babady NE. The FilmArray® respiratory panel: An automated, broadly multiplexed molecular test for the rapid and accurate detection of respiratory pathogens. Expert Rev Mol Diagn. 2013;13:779-88. https://doi.org/10.1586/14737159.2013.848794
Rand KH, Rampersaud H, Houck HJ. Comparison of two multiplex methods for detection of respiratory viruses: FilmArray RP and xTAG RVP. J Clin Microbiol. 2011;49:2449-53. https://doi.org/10.1128/JCM.02582-10
Popowitch EB, O’Neill SS, Miller MB. Comparison of the Biofire FilmArray RP, Genmark eSensor RVP, Luminex xTAG RVPv1, and Luminex xTAG RVP fast multiplex assays for detection of respiratory viruses. J Clin Microbiol. 2013;51:1528-33. https://doi.org/10.1128/JCM.03368-12
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