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Published on: June 26, 2020
Acute viral hepatitis e is associated with the development of myocarditis
M Premkumar1, Devraja Rangegowda1, Chitranshu Vashishtha1
1Department of Hepatology, Institute of Liver and Biliary Sciences (ILBS), D-1 Vasant Kunj, New Delhi 110070, India.
Insights
Viral hepatitis E can cause myocarditis, an inflammation of the heart muscle. This case report highlights a rare association between acute viral hepatitis E and symptomatic myocarditis in a young adult.
Area of Science:
- Cardiology
- Infectious Diseases
- Virology
Background:
- Myocarditis is heart muscle inflammation, a significant global cause of dilated cardiomyopathy.
- Viral infections are a primary etiology of myocarditis.
- Myocarditis presentation varies from mild symptoms to severe outcomes like arrhythmia and cardiogenic shock.
Purpose of the Study:
- To report a rare case of symptomatic myocarditis secondary to acute viral hepatitis E.
- To contribute to the limited literature on this specific viral association with myocarditis.
Main Methods:
- Case report detailing clinical presentation, diagnostic workup, and management.
- Literature review to identify similar reported cases.
Main Results:
- A 26-year-old patient presented with symptomatic myocarditis during acute viral hepatitis E infection.
- This represents a rare documented instance of this co-occurrence.
Conclusions:
- Acute viral hepatitis E should be considered in the differential diagnosis of myocarditis, particularly in endemic areas.
- Further research is warranted to understand the pathogenic mechanisms and clinical implications of this association.
Abstract:
Myocarditis, an inflammatory disease of heart muscle, is an important cause of dilated cardiomyopathy worldwide. Viral infection is an important cause of myocarditis. This condition presents with various symptoms, ranging from minimally symptomatic cases to fatal arrhythmia and cardiogenic shock, and may develop chronic myocarditis and dilated cardiomyopathy in some patients. We report the case of a 26-year-old patient with acute viral hepatitis E who developed symptomatic myocarditis. As far as we could search, this is probably the 3rd case report of this rare association.
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