Acute Myopericarditis caused by Human Metapneumovirus

Min Joo Choi1, Joon Young Song2, Tae Un Yang1

  • 1Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

Insights

Human metapneumovirus (hMPV) infection can cause severe illness, including pneumonia and myopericarditis, especially in older adults. Prompt supportive care led to a full recovery in a 73-year-old patient.

Area of Science:

  • Virology
  • Infectious Diseases
  • Cardiology

Background:

  • Human metapneumovirus (hMPV) shares similarities with respiratory syncytial virus (RSV).
  • Frequent reinfection with hMPV occurs due to incomplete immunity, particularly impacting the elderly population.
  • Clinical presentations of hMPV in adults require further detailed characterization.

Purpose of the Study:

  • To characterize the clinical manifestations of human metapneumovirus infection in an adult patient.
  • To investigate the potential link between hMPV infection and cardiovascular complications.

Main Methods:

  • Case report of a 73-year-old female presenting with acute respiratory symptoms.
  • Diagnosis of human metapneumovirus infection confirmed.
  • Clinical course and management, including supportive care and oxygen supplementation, were documented.

Main Results:

  • The patient presented with acute dyspnea, chest discomfort, and influenza-like illness.
  • Diagnosis revealed human metapneumovirus infection complicated by pneumonia and myopericarditis.
  • The patient achieved complete recovery with supportive care, showing no long-term sequelae.

Conclusions:

  • Human metapneumovirus infection can lead to significant clinical complications, including cardiovascular manifestations like myopericarditis.
  • The elderly population may be particularly susceptible to severe outcomes and cardiac involvement from hMPV.
  • This case underscores the importance of recognizing hMPV as a potential cause of serious respiratory and cardiovascular illness in adults.

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