Coxsackie b2 virus infection: Causing multiorgan failure and cardiogenic shock in a 42-year-old man

Kali A. Hopkins, Mahmoud H. Abdou, M. Azam Hadi

Research output: Contribution to journalArticle

Abstract

Infections from coxsackie B2 viruses often cause viral myocarditis and, only rarely, multisystem organ impairment. We present 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. In addition, the patient had a rapid-eye-movement sleep-related conduction abnormality that caused frequent sinus pauses of longer than 10 s, presumably due to myocarditis from the coxsackievirus infection. He recovered after permanent pacemaker placement and was discharged from the hospital. We discuss our aggressive supportive care and the few other reports of multiorgan impairment from coxsackieviruses.

Original languageEnglish (US)
Pages (from-to)32-35
Number of pages4
JournalTexas Heart Institute Journal
Volume46
Issue number1
DOIs
StatePublished - Feb 2019

Keywords

  • Acute disease
  • Coxsackievirus infections/ complications/diagnosis/ pathology
  • Disease progression
  • Multiple organ failure/ etiology
  • Myocarditis/complications/ etiology/pathology
  • Pancreatitis/complications
  • Sinus arrest, cardiac/physiopathology
  • Sleep, rem
  • Treatment outcome
  • Virus diseases/complications

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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