Coxsackie B Virus-Induced Cardiac Tamponade and Adrenal Insufficiency.
adrenal insufficiency
adult internal medicine
cardiac tamponade
coxsackie b virus
pericardial effusion
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
accepted:
14
09
2023
medline:
17
10
2023
pubmed:
17
10
2023
entrez:
17
10
2023
Statut:
epublish
Résumé
We report a case involving a young male patient without a significant medical history who exhibited symptoms of fatigue, shortness of breath, chest and back pain, and syncope with vomiting. He was found to have adrenal insufficiency and cardiac tamponade requiring pericardiocentesis. Further inpatient workup revealed the patient had positive IgM and IgG antibody titers for the coxsackie B virus, which we believe caused his presentation. The coxsackie B virus strain can cause mild gastrointestinal to more severe cardiac and neurological complications, including meningitis and myocarditis. On rare occasions, the virus can appear in an unexpected fashion, such as in cardiac tamponade or hormonal disruption. This case raises attention to the broad manifestations of the virus and recognizing its more uncommon presentations.
Identifiants
pubmed: 37846284
doi: 10.7759/cureus.45272
pmc: PMC10576846
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e45272Informations de copyright
Copyright © 2023, Jeong et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Geriatr Cardiol. 2020 Oct 28;17(10):642-644
pubmed: 33224184
Acta Pathol Jpn. 1985 May;35(3):741-8
pubmed: 2994361
Adv Virus Res. 1986;31:335-55
pubmed: 2428214
Br J Ophthalmol. 1993 Mar;77(3):182-3
pubmed: 8384474
BMC Infect Dis. 2022 Jan 15;22(1):56
pubmed: 35033020
Am J Pathol. 1963 Apr;42:493-505
pubmed: 13944652
J Virol. 2002 May;76(9):4430-40
pubmed: 11932410
JOP. 2004 Sep 10;5(5):384-7
pubmed: 15365208
J Virol. 1999 Dec;73(12):10113-21
pubmed: 10559326
Nat Med. 1998 Jul;4(7):781-5
pubmed: 9662368