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A case of viral myocarditis presenting with acute asthma attack.

Sertogullarindan B, Ozbay B, Gumrukcuoglu HA, Akil MA, Bilgin MH, Yasar M - J Clin Med Res (2012)

Bottom Line: Asthma was diagnosed and treated, however his respiratory complaints have persisted.Laboratory evaluations revealed that elevated cardiac enzymes, Echocardiogram showed global hypokinesia in the left ventricle and a decrease of ejection fraction.We concluded that viral myocarditis can present itself like an acute asthma attack.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Medical Faculty, Yuzuncu Yil Universty, Van, Turkey.

ABSTRACT

Unlabelled: Acute viral myocarditis is one of the causes of heart failure. Cardiac asthma is commonly observed in elderly patients with left heart failure. If the pulmonary manifestations are prominent it can mask the involvement of heart. We report a young case of viral myocarditis mimicking acute asthma attack.

Case presentation: A 27-year-old young man with a history of asthma presented to the pulmonary department of our hospital with dyspnea, left sided chest pain, cough, wheezing. Asthma was diagnosed and treated, however his respiratory complaints have persisted. Laboratory evaluations revealed that elevated cardiac enzymes, Echocardiogram showed global hypokinesia in the left ventricle and a decrease of ejection fraction. We concluded that viral myocarditis can present itself like an acute asthma attack.

No MeSH data available.


Related in: MedlinePlus

Chest tomography shows minimal pericardial effusion.
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Figure 2: Chest tomography shows minimal pericardial effusion.

Mentions: A 27-year-old young man presented to city hospital with 38 °C fever, dyspnea, cough, wheezing and left sided chest pain. His complaints began after an episode of viral infection one week before his admission. Influenza antigen test for influenza A and Ig E antibody was positive. His skin allergy test was positive to dust mite. Chest radiography showed bronchovascular prominence (Fig. 1). Chest computed tomography also revealed bronchovascular prominence and pericardial minimal effusion (Fig. 2). He was diagnosed with asthma and acute viral bronchitis and pericarditis. He was treated by oseltamivir, bronchodilator and anti-inflammatory, but his respiratuar compliants persisted. He was referred to our hospital two weeks later. His medical history revealed that his father had Wegener Diseases, and his mother had asthma. He has had symptoms of allergic rhinitis for two years but didn’t have diagnosis. He never smoked. On admission, the patient hemodynamic status was tachycardic as pulse 105 bpm and besides this, blood pressure was 110/70 mmHg, temperature 37 °C and respiratory rate 20/min. White blood cell count, erythrocyte sedimentation rate, C-reactive protein values were 21.7×109/L, 25 mm/h and 7.9 mg/L respectively on admission. He had elevated cardiac enzymes as troponin I 0.01 μg/L, and CPK-MB 53 UI/L. C-ANCA was negative. Blood and sputum examination were all negative. Physical examination revealed that there were remarkable wheezes in both lungs and sinus tashicardia on auscultation. Electrocardiographic findings were nonspecific. Echocardiogram showed global hypokinesia in the left ventricular and a decrease of ejection fraction as 40%. After being started on diuretic and ACE inhibiteur therapy, the patient’s clinical condition significantly improved. One month later control Echocardiogram showed significantly improvement in left ventricular systolic function as 57%.


A case of viral myocarditis presenting with acute asthma attack.

Sertogullarindan B, Ozbay B, Gumrukcuoglu HA, Akil MA, Bilgin MH, Yasar M - J Clin Med Res (2012)

Chest tomography shows minimal pericardial effusion.
© Copyright Policy - open access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3376884&req=5

Figure 2: Chest tomography shows minimal pericardial effusion.
Mentions: A 27-year-old young man presented to city hospital with 38 °C fever, dyspnea, cough, wheezing and left sided chest pain. His complaints began after an episode of viral infection one week before his admission. Influenza antigen test for influenza A and Ig E antibody was positive. His skin allergy test was positive to dust mite. Chest radiography showed bronchovascular prominence (Fig. 1). Chest computed tomography also revealed bronchovascular prominence and pericardial minimal effusion (Fig. 2). He was diagnosed with asthma and acute viral bronchitis and pericarditis. He was treated by oseltamivir, bronchodilator and anti-inflammatory, but his respiratuar compliants persisted. He was referred to our hospital two weeks later. His medical history revealed that his father had Wegener Diseases, and his mother had asthma. He has had symptoms of allergic rhinitis for two years but didn’t have diagnosis. He never smoked. On admission, the patient hemodynamic status was tachycardic as pulse 105 bpm and besides this, blood pressure was 110/70 mmHg, temperature 37 °C and respiratory rate 20/min. White blood cell count, erythrocyte sedimentation rate, C-reactive protein values were 21.7×109/L, 25 mm/h and 7.9 mg/L respectively on admission. He had elevated cardiac enzymes as troponin I 0.01 μg/L, and CPK-MB 53 UI/L. C-ANCA was negative. Blood and sputum examination were all negative. Physical examination revealed that there were remarkable wheezes in both lungs and sinus tashicardia on auscultation. Electrocardiographic findings were nonspecific. Echocardiogram showed global hypokinesia in the left ventricular and a decrease of ejection fraction as 40%. After being started on diuretic and ACE inhibiteur therapy, the patient’s clinical condition significantly improved. One month later control Echocardiogram showed significantly improvement in left ventricular systolic function as 57%.

Bottom Line: Asthma was diagnosed and treated, however his respiratory complaints have persisted.Laboratory evaluations revealed that elevated cardiac enzymes, Echocardiogram showed global hypokinesia in the left ventricle and a decrease of ejection fraction.We concluded that viral myocarditis can present itself like an acute asthma attack.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Medical Faculty, Yuzuncu Yil Universty, Van, Turkey.

ABSTRACT

Unlabelled: Acute viral myocarditis is one of the causes of heart failure. Cardiac asthma is commonly observed in elderly patients with left heart failure. If the pulmonary manifestations are prominent it can mask the involvement of heart. We report a young case of viral myocarditis mimicking acute asthma attack.

Case presentation: A 27-year-old young man with a history of asthma presented to the pulmonary department of our hospital with dyspnea, left sided chest pain, cough, wheezing. Asthma was diagnosed and treated, however his respiratory complaints have persisted. Laboratory evaluations revealed that elevated cardiac enzymes, Echocardiogram showed global hypokinesia in the left ventricle and a decrease of ejection fraction. We concluded that viral myocarditis can present itself like an acute asthma attack.

No MeSH data available.


Related in: MedlinePlus