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MYOPERICARDITIS ASSOCIATED WITH ACUTE ZIKA VIRUS INFECTION: A CASE REPORT
Author
Bôtto-Menezes, Camila Helena Aguiar
Safe, Izabella Picinin
Ferreira, Ana Cláudia da Cunha
Couceiro, Katia do Nascimento
Neto, Armando Menezes
Franca, Rafael Freitas Oliveira
Calvet, Guilherme Amaral
Filippis, Ana Maria Bispo de
Kara, Edna Oliveira
Castilho, Marcia da Costa
Bastos, Michele Souza
Brito, Carlos Alexandre Antunes de
Modjarrad, Kayvon
Broutet, Nathalie Jeanne Nicole
Brasil, Patrícia
Hajjar, Ludhmila Abrahão
Lacerda, Marcus Vinícius Guimarães de
Safe, Izabella Picinin
Ferreira, Ana Cláudia da Cunha
Couceiro, Katia do Nascimento
Neto, Armando Menezes
Franca, Rafael Freitas Oliveira
Calvet, Guilherme Amaral
Filippis, Ana Maria Bispo de
Kara, Edna Oliveira
Castilho, Marcia da Costa
Bastos, Michele Souza
Brito, Carlos Alexandre Antunes de
Modjarrad, Kayvon
Broutet, Nathalie Jeanne Nicole
Brasil, Patrícia
Hajjar, Ludhmila Abrahão
Lacerda, Marcus Vinícius Guimarães de
Affilliation
Tropical Medicine Foundation Dr. Heitor Vieira Dourado. Manaus, AM, Brazil / University of Amazonas State. School of Health Sciences. Department of Medicine. Manaus, AM, Brazil.
Tropical Medicine Foundation Dr. Heitor Vieira Dourado. Manaus, AM, Brazil / University of Amazonas State. School of Health Sciences. Department of Medicine. Manaus, AM, Brazil.
Federal University of Amazonas. Getúlio Vargas University Hospital. Manaus, AM, Brazil.
University of Amazonas State. School of Health Sciences. Department of Medicine. Manaus, AM, Brazil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Doenças Febris Agudas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Flavivírus. Rio de Janeiro, RJ, Brasil.
World Health Organization. Department of Sexual and Reproductive Health and Research. Geneva, Switzerland.
Tropical Medicine Foundation Dr. Heitor Vieira Dourado. Manaus, AM, Brazil.
Tropical Medicine Foundation Dr. Heitor Vieira Dourado. Manaus, AM, Brazil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Walter Reed Army Institute of Research. Silver Spring, USA.
World Health Organization. Department of Sexual and Reproductive Health and Research. Geneva, Switzerland.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Doenças Febris Agudas. Rio de Janeiro, RJ, Brasil.
University of São Paulo. Medical School. Heart Institute. São Paulo, SP, Brazil.
Fundação Oswaldo Cruz. Instituto Leônidas e Maria Deane. Laboratório de Território, Meio Ambiente, Saúde e Sustentabilidade. Manaus, AM, Brasil / Tropical Medicine Foundation Dr. Heitor Vieira Dourado. Manaus, AM, Brazil.
Tropical Medicine Foundation Dr. Heitor Vieira Dourado. Manaus, AM, Brazil / University of Amazonas State. School of Health Sciences. Department of Medicine. Manaus, AM, Brazil.
Federal University of Amazonas. Getúlio Vargas University Hospital. Manaus, AM, Brazil.
University of Amazonas State. School of Health Sciences. Department of Medicine. Manaus, AM, Brazil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Doenças Febris Agudas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Flavivírus. Rio de Janeiro, RJ, Brasil.
World Health Organization. Department of Sexual and Reproductive Health and Research. Geneva, Switzerland.
Tropical Medicine Foundation Dr. Heitor Vieira Dourado. Manaus, AM, Brazil.
Tropical Medicine Foundation Dr. Heitor Vieira Dourado. Manaus, AM, Brazil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Walter Reed Army Institute of Research. Silver Spring, USA.
World Health Organization. Department of Sexual and Reproductive Health and Research. Geneva, Switzerland.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Doenças Febris Agudas. Rio de Janeiro, RJ, Brasil.
University of São Paulo. Medical School. Heart Institute. São Paulo, SP, Brazil.
Fundação Oswaldo Cruz. Instituto Leônidas e Maria Deane. Laboratório de Território, Meio Ambiente, Saúde e Sustentabilidade. Manaus, AM, Brasil / Tropical Medicine Foundation Dr. Heitor Vieira Dourado. Manaus, AM, Brazil.
Abstract
Background: Zika virus infection is commonly described as a mild and self-limiting illness. However, cardiac complications were associated with acute Zika virus infection.
Case presentation: A 46-year-old woman without previous comorbidities with a 1-day history of symptoms tested positive for ZIKV by real time reverse transcriptase polymerase chain reaction (rRT-PCR). She was admitted two days after with clinical worsening, cardiac enzymes elevated, and cardiac imaging findings, and the diagnosis of myopericarditis was made. The patient was treated and presented significant clinical improvement after one year.
Conclusions: Cardiac complication following ZIKV infection appears to be infrequent. Here, we report a rare case of viral myopericarditis caused by ZIKV infection.
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