Coxsackie B2 Virus Infection Causing Multiorgan Failure and Cardiogenic Shock in a 42-Year-Old Man

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...

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Bibliographic Details
Published in:Texas Heart Institute journal 2019-02, Vol.46 (1), p.32-35
Main Authors: Hopkins, Kali A, Abdou, Mahmoud H, Hadi, M Azam
Format: Article
Language:English
Subjects:
Adult
Case Reports
Coxsackievirus Infections - complications
Coxsackievirus Infections - diagnosis
Coxsackievirus Infections - virology
Echocardiography
Humans
Male
Multiple Organ Failure - diagnosis
Multiple Organ Failure - etiology
Shock, Cardiogenic - diagnosis
Shock, Cardiogenic - etiology
Tomography, X-Ray Computed
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Summary: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.
ISSN:0730-2347
1526-6702
DOI:10.14503/THIJ-17-6361