Myocarditis in a Child with Crimean-Congo Hemorrhagic Fever
Belgin Gülhan1, Saliha Kanık-Yüksek1, İbrahim İlker Çetin2
11 Pediatric Infectious Diseases Department, Ankara Children's Diseases Hematology Oncology Training Hospital , Ankara, Turkey .
Insights
Crimean-Congo hemorrhagic fever (CCHF) can cause cardiac complications. This case study details a pediatric patient who developed myocarditis due to CCHF, with full recovery observed.
Area of Science:
- Cardiology
- Infectious Diseases
- Pediatrics
Background:
- Crimean-Congo hemorrhagic fever (CCHF) is a severe tick-borne viral illness with significant mortality, particularly in adults.
- Cardiac complications, including myocardial involvement, are recognized manifestations of CCHF.
- Myocarditis and cardiomyopathy are typically associated with other viral agents, with CCHF-induced myocardial involvement in children being infrequently documented.
Observation:
- A 13-year-old male presented with symptoms indicative of CCHF.
- The patient exhibited signs of myocarditis during the acute phase of the CCHF infection.
- Cardiac function and symptoms were monitored throughout the disease course.
Findings:
- The pediatric patient diagnosed with CCHF developed myocarditis.
- Complete resolution of myocarditis was observed following the convalescent period of CCHF.
- This case highlights the potential for CCHF to induce myocardial inflammation in pediatric patients.
Implications:
- This case expands the understanding of CCHF's potential cardiac manifestations in children.
- It underscores the importance of considering CCHF as a cause of pediatric myocarditis.
- Early recognition and management of CCHF-related cardiac complications may improve patient outcomes.
Abstract:
Crimean-Congo hemorrhagic fever (CCHF) is a viral, tick-borne disease that can be fatal, especially in the adult patient population. CCHF involves multiple organ systems. Pericardial effusion, cardiac hypokinesia, T-wave changes, bundle branch block, and myocardial involvement can be seen as a cardiac complication of CCHF. Several different viruses like Coxsackie A/B and adenovirus may cause myocarditis and cardiomyopathy, but myocardial involvement of CCHF in children was rarely reported. We report a 13-year-old boy patient with myocarditis during the course of CCHF who has completely resolved after convalescent period of the disease.
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