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Herpes zoster pericarditis.

C R Winfield, S P Joseph

    British Heart Journal
    |May 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    A rare case of varicella pericarditis occurred in a young man without the usual chickenpox rash. Diagnosis relied on antibody levels and an enanthem, highlighting atypical presentations of varicella zoster virus.

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    Area of Science:

    • Infectious Diseases
    • Cardiology
    • Virology

    Background:

    • Varicella zoster virus (VZV) typically causes chickenpox with a characteristic rash.
    • Pericarditis, inflammation of the sac around the heart, can be a rare complication of VZV infection.

    Observation:

    • A healthy 22-year-old male presented with acute pericarditis.
    • The patient exhibited an enanthem (rash inside the mouth) but notably lacked the typical VZV skin exanthem.
    • Diagnostic confirmation included rising titers of VZV antibodies.

    Findings:

    • This case represents the third documented instance of varicella pericarditis.
    • Crucially, it is the first reported case of VZV-associated pericarditis occurring without the classic chickenpox rash.
    • The presence of an enanthem and serological evidence supported the VZV etiology.

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    Implications:

    • This case underscores the importance of considering VZV as a cause of pericarditis even in the absence of a typical rash.
    • Diagnostic approaches may need to adapt to recognize atypical presentations of VZV infections.
    • Further research into the spectrum of VZV-related cardiac complications is warranted.