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Published on: April 14, 2011
Myocardial ischaemia in a child infected with influenza B
Lars Grosse-Wortmann1, Eberhard G Muehler
1Department of Pediatric Cardiology, University Hospital Aachen, 52074 Aachen, Germany. lgrosse-wortmann@ukaachen.de
Abstract:
Cardiac involvement is a rare complication of infection by the influenza B virus. It usually presents with ventricular dysfunction, arrhythmias, or both. We report a 13-year-old boy with clinical, electrocardiographic, and laboratory findings of myocardial ischaemia during an otherwise silent acute infection with influenza B. Coronary endothelial injury constituted a potential underlying mechanism, and microthrombosis was promoted by high levels of lipoprotein(a) in the serum.
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