A rare case of acute 'infective' myocardial infarction triggered by acute parvovirus B19 myocarditis

Nat Clin Pract Cardiovasc Med. 2005 Mar;2(3):167-71. doi: 10.1038/ncpcardio0126.

Abstract

Background: A 25-year-old obese male (BMI 31.9 kg/m(2)) presented with atypical chest pain of sudden onset that was indistinguishable from acute myocardial infarction. He had tachycardia (104 beats/min) and dyspnea at a low level of exercise. He had no previous cardiac history, but his cardiovascular risk profile included a familial predisposition, smoking and hypertension.

Investigations: Electrocardiogram, laboratory testing, chest radiography, echocardiography, coronary angiography, intravascular ultrasonography and endomyocardial biopsy.

Diagnosis: Acute myocardial infarction and parvovirus-B19-positive myocarditis.

Management: Percutaneous transluminal coronary angioplasty with intracoronary abciximab, heparin and nitroglycerin infusion.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Antibodies, Viral / analysis
  • Biopsy
  • Coronary Angiography
  • DNA, Viral / analysis
  • Diagnosis, Differential
  • Follow-Up Studies
  • Humans
  • Male
  • Myocardial Infarction / diagnostic imaging
  • Myocardial Infarction / etiology*
  • Myocarditis / complications*
  • Myocarditis / pathology
  • Myocarditis / virology
  • Myocardium / pathology
  • Parvoviridae Infections / complications*
  • Parvoviridae Infections / pathology
  • Parvoviridae Infections / virology
  • Parvovirus B19, Human* / genetics
  • Parvovirus B19, Human* / immunology

Substances

  • Antibodies, Viral
  • DNA, Viral