A case of coxsackie B virus infection leading to multi-organ inflammation: Myopericarditis and acute liver failure

  title={A case of coxsackie B virus infection leading to multi-organ inflammation: Myopericarditis and acute liver failure},
  author={Samad Zaheeruddin and Najeebah A. Bade and Sandeep M. Jani and Monvadi Barbara Srichai},
Myopericarditis refers to the development of acute pericarditis with myocardial involvement. Viral infections, including Coxsackie B virus, are amongst the most common causes of myopericarditis. The Coxsackie B viruses are known to have a role in the development of a number of clinical diseases including but not limited to cardiac disease, central nervous system infections, ocular infections, pleurodynia, gastrointestinal disease, and viral exanthems. In individual cases, Coxsackie B virus may… 
Effusive-constrictive pericarditis, hepatitis, and pancreatitis in a patient with possible coxsackievirus B infection: a case report
Clinical suspicion of effusive-constrictive pericarditis with tamponade from coxsackievirus B should be considered in patients presenting with chest pain, dyspnea, jugular venous distention, hypotension, ST segment elevation on electrocardiogram, and ventricular interdependence with septal shift on transthoracic echocardiogram.
Coxsackie B2 Virus Infection Causing Multiorgan Failure and Cardiogenic Shock in a 42-Year-Old Man.
The unusual case of a 42-year-old man in whom coxsackie B2 virus infection caused multiorgan infection, necessitating distal pancreatectomy, splenectomy, renal dialysis, and venoarterial extracorporeal membrane oxygenation with mechanical ventilation is presented.


Acute liver failure associated with Coxsackie virus B2 infection in a neonate
When three neonates from the patients primary nursery fell acutely ill with hepatitis, meningoencephalitis, or a sepsis-like disease, this epidemiological evidence suggested an infective agent (signs began 6, 7 and 15 days after birth of propositus).
Clinical manifestations of acute Coxsackie-B viral myocarditis and pericarditis with a special reference to serum enzyme patterns and long-term prognosis.
Patients with acute myo-carditis appeared to rarely progress to dilated cardiomyopathy if they had re-covered completely from the acute stage, and in the long-term follow-up of those patients who had recovered almost completely by the time of discharge, none developed a recurrence of myocarditis or any cardiac manifestation of residual myocardial damage.
Acute Viral Myopericarditis Presenting as a Transient Effusive-Constrictive Pericarditis Caused by Coinfection with Coxsackieviruses A4 and B3
A 24-year-old man with acute myopericarditis who presented with transient effusive-constrictive pericardial effusion with constrictive physiology and global regional wall motion abnormalities of the left ventricle is reported here.
Acute liver failure in pregnancy. A case report.
  • J. Archer
  • Medicine
    The Journal of reproductive medicine
  • 2001
A careful history, physical examination and appropriate diagnostic tests can help determine the etiology of hepatic disease and help decide whether expectant management of the gravid patient or immediate delivery is appropriate.
Hepatitis associated with a Coxsackie B5 virus infection during late pregnancy.
The case was considered worthy of special comment because hepatic damage was present and the striking similarity of the clinical picture to that usually produced by Weil's disease was thought to be of unusual interest.
Anicteric Hepatitis in an Adult Associated with Coxsackie B4 Virus Infection
Diagnosis of Coxsackie virus was established by neutralization test on Vero cells with specific antiseras for B1–B6 and infections with hepatotropic viruses were checked by ELISA tests (Organon, Netherlands).
Hepatitis and Encephalitis due to Coxsackie Virus A9 in an Adult
This is the first case report of hepatitis and encephalitis secondary to Coxsackie virus type A9 in an adult and the patient recovered completely without specific treatment.
A study of Coxsackie B virus infections, 1972-1983.
The demand by clinicians for CBV neutralizing antibody tests has increased over the past twelve years and continues to escalate annually, especially in patients with chronic relapsing illness.
A rare case of concomitant viral myocarditis and pericarditis in a 44-year-old patient.
A case of a 44-year-old woman who presented in shock after a week of a flu-like illness and several hours of severe back pain and died 2 days later secondary to progressive cardiomyopathy and multi-system organ failure.
The characteristic feature distinguishing the disease from viral hepatitis has been the histology of the liver, which always showed gross fatty change with a fine foam-like appearance of the cells without necrosis, which has led to the adoption of the term “acute fatty metamorphosis of the Liver”, and it is retained in this report of a case in which both mother and child survived.