Science Journal of Clinical Medicine

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Acute Pericarditis and Viral Infection

Received: 07 February 2015    Accepted: 02 March 2015    Published: 08 March 2015
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Abstract

Introduction: Hantaviruses is a disease of fever character caused by the virus, RNA from simple tape, of the Bunyaviridae family. Hantaviruses may occur in two clinical types: 1) hemorrhagic fever with renal syndrome in Europe and Asia; 2) cardiopulmonary syndrome by hantaviruses only in Americas. Acute pericarditis is a clinical syndrome with the following characteristics: chest pain, pericardium friction and evolutive alterations of repolarization in the electrocardiogram. The most common etiology is idiopathic and viral. Case report: A man, 38 years old, living at the rural area, with myalgia, arthralgia, fever, loss of appetite, diarrhea, dry cough, chronic headache and retroorbital pain for 5 days. He was diagnosed with classical dengue, so, he received medical treatment with oral hydratation and symptomatical. He went to the Emergency Unit Care - Ribeirão Preto in the 6th day of symptoms, because of the worsening in his clinical condition, with the diagnosis hypothesis of Syndrome of Dengue Shock. Though, serology for dengue was negative. With this result and for the fact that the patient lived in a rural area a survey about the presence of Hantaviruses was made. As the result for the serology had positive for Hantaviruses. With the diagnosis for Cardiopulmonary Syndrome and Pericarditis for Hantaviruses it was made a clinical support to maintain the vital functions, with emphasis in oxygenation and observing the respiratory functions. The patient had satisfactory evolution in the clinical condition. Discussion: Ribeirão Preto is an endemic area for Dengue. Dengue is a fever disease that in its initial phase, has common symptoms with other diseases, like Hantaviruses. This case refers to a patient with clinic and laboratorial exams compatible with Dengue. Though, with the worsening of his symptoms, and the Hypothesis of Shock Syndrome Dengue, treatment began according to the preconizing protocol and the Electrocardiogram identified alterations of repolarization, and the echocardiography was indicated, where the pericardial effusion was evident. Pericarditis was not mentioned as a complication of cardiopulmonary syndrome by hantaviruses. Conclusion: In this report we introduced the case of a patient initially medicated for Dengue and after had Hantaviruses confirmed. EKG helped in the identification and the severity of the illness and the sorological exams defined the infection. Only the clinical board and the epidemiology can't be used for the diagnosis of Dengue. Serology survey is getting more important for these pathologies not being sub notifcated and not treated correctly and conveniently.

DOI 10.11648/j.sjcm.20150402.12
Published in Science Journal of Clinical Medicine (Volume 4, Issue 2, March 2015)
Page(s) 29-31
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Acute Pericarditis, Hantaviruses, Dengue, Hemorrhagic Fever, Chest Pain

References
[1] Figueiredo LTM, Moreli ML, Campos GM, Sousa RL. Hantaviruses in São Paulo State, Brazil. Emerging Infectious Diseases 7:891-892, 2003
[2] Young JC, Hansen GR, Graves TK, Deasy MP, Humphreys JG, Fritz CL, Gorham KL, Khan AS, Ksiazek TG, Metzger KB, Peters CJ. The incubation period of hantavirus pulmonary syndrome. The American Journal Tropical Medicine and Hygiene 62:714-717, 2000
[3] Gelse Mazzoni Campos, Alessandra Abel Borges, Soraya Jabur Badra, Glauciane Garcia Figueiredo, Ricardo Luiz Moro de Souza, Marcos Lázaro Moreli e Luiz Tadeu Moraes Figueiredo. Pulmonary and cardiovascular syndrome due to hantavirus: clinical aspects of an emerging disease in southeastern Brazil. Revista da Sociedade Brasileira de Medicina Tropical 42(3):282-289, mai-jun, 2009
[4] Maria Cristina Antunes Willemann, Stefan Vilges de Oliveira. Os fatores de risco associados à hantavirose fatalidade: uma análise regional a partir de um estudo caso-controle no Brasil. Rev. Soc. Bras. Med Trop. vol 47 n.1 Uberaba Jan./fev 2014.
[5] Tobias Manigold and Pablo Vial. Human hantavirus infections: epidemiology, clinical features, pathogenesis and immunology. Review article: Medical intelligence Swiss Med Wkly. 2014;144:w13937
[6] Marcelo Simão Ferreira. Hantaviroses. Rev. Soc. Bras. Med. Trop. vol.36 no.1 Uberaba Jan./Feb. 2003.
[7] Talamonti L1, Padula PJ, Canteli MS, Posner F, Marczeski FP, Weller C . Hantavirus pulmonary syndrome: encephalitis caused by virus Andes. J Neurovirol. 2011 Apr;17(2):189-92.
[8] Yuan-Hong Liu *, Jyh-Hsiung Huang ‡, Po-Ren Hsueh * e Kwen-Tay Luh . Hantavirus Infection with Marked Sinus Bradycardia, Taiwan. Letter. Emerging Infectious Diseases. Volume 8, Number 6—June 2002
[9] Patrick K. C. Chun, and Larry J. Godfrey. Unique selective right atrial hemorrhage with epidemic (Korean) hemorrhagic fever Brief Communication. American Heart Journal. August. 1994
[10] Mettang T, Weber J, Kuhlmann U. Acute kidney failure caused by hantavirus infection. Dtsch Med Wochenschr. 1991;116:1903–6
Author Information
  • UNAERP Medicine School, University of Ribeir?o Preto (UNAERP), Ribeir?o Preto, Brazil

  • UNAERP Medicine School, University of Ribeir?o Preto (UNAERP), Ribeir?o Preto, Brazil

  • UNAERP Medicine School, University of Ribeir?o Preto (UNAERP), Ribeir?o Preto, Brazil

  • UNAERP Medicine School, University of Ribeir?o Preto (UNAERP), Ribeir?o Preto, Brazil

  • UNAERP Medicine School, University of Ribeir?o Preto (UNAERP), Ribeir?o Preto, Brazil

  • UNAERP Medicine School, University of Ribeir?o Preto (UNAERP), Ribeir?o Preto, Brazil

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    Beatriz Cruz Barcelos, Luis Felipe Silveira Santos, Nathalia Antônio Monteiro de Castro, Ana Paula Silveira Menezes, Tufik José Geleilete, et al. (2015). Acute Pericarditis and Viral Infection. Science Journal of Clinical Medicine, 4(2), 29-31. https://doi.org/10.11648/j.sjcm.20150402.12

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    ACS Style

    Beatriz Cruz Barcelos; Luis Felipe Silveira Santos; Nathalia Antônio Monteiro de Castro; Ana Paula Silveira Menezes; Tufik José Geleilete, et al. Acute Pericarditis and Viral Infection. Sci. J. Clin. Med. 2015, 4(2), 29-31. doi: 10.11648/j.sjcm.20150402.12

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    AMA Style

    Beatriz Cruz Barcelos, Luis Felipe Silveira Santos, Nathalia Antônio Monteiro de Castro, Ana Paula Silveira Menezes, Tufik José Geleilete, et al. Acute Pericarditis and Viral Infection. Sci J Clin Med. 2015;4(2):29-31. doi: 10.11648/j.sjcm.20150402.12

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  • @article{10.11648/j.sjcm.20150402.12,
      author = {Beatriz Cruz Barcelos and Luis Felipe Silveira Santos and Nathalia Antônio Monteiro de Castro and Ana Paula Silveira Menezes and Tufik José Geleilete and Reinaldo Bugarelli Bestetti and Rosemary Aparecida Furlan Daniel},
      title = {Acute Pericarditis and Viral Infection},
      journal = {Science Journal of Clinical Medicine},
      volume = {4},
      number = {2},
      pages = {29-31},
      doi = {10.11648/j.sjcm.20150402.12},
      url = {https://doi.org/10.11648/j.sjcm.20150402.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sjcm.20150402.12},
      abstract = {Introduction: Hantaviruses is a disease of fever character caused by the virus, RNA from simple tape, of the Bunyaviridae family. Hantaviruses may occur in two clinical types: 1) hemorrhagic fever with renal syndrome in Europe and Asia; 2) cardiopulmonary syndrome by hantaviruses only in Americas. Acute pericarditis is a clinical syndrome with the following characteristics: chest pain, pericardium friction and evolutive alterations of repolarization in the electrocardiogram. The most common etiology is idiopathic and viral. Case report: A man, 38 years old, living at the rural area, with myalgia, arthralgia, fever, loss of appetite, diarrhea, dry cough, chronic headache and retroorbital pain for 5 days. He was diagnosed with classical dengue, so, he received medical treatment with oral hydratation and symptomatical. He went to the Emergency Unit Care - Ribeirão Preto in the 6th day of symptoms, because of the worsening in his clinical condition, with the diagnosis hypothesis of Syndrome of Dengue Shock. Though, serology for dengue was negative. With this result and for the fact that the patient lived in a rural area a survey about the presence of Hantaviruses was made. As the result for the serology had positive for Hantaviruses. With the diagnosis for Cardiopulmonary Syndrome and Pericarditis for Hantaviruses it was made a clinical support to maintain the vital functions, with emphasis in oxygenation and observing the respiratory functions. The patient had satisfactory evolution in the clinical condition. Discussion: Ribeirão Preto is an endemic area for Dengue. Dengue is a fever disease that in its initial phase, has common symptoms with other diseases, like Hantaviruses. This case refers to a patient with clinic and laboratorial exams compatible with Dengue. Though, with the worsening of his symptoms, and the Hypothesis of Shock Syndrome Dengue, treatment began according to the preconizing protocol and the Electrocardiogram identified alterations of repolarization, and the echocardiography was indicated, where the pericardial effusion was evident. Pericarditis was not mentioned as a complication of cardiopulmonary syndrome by hantaviruses. Conclusion: In this report we introduced the case of a patient initially medicated for Dengue and after had Hantaviruses confirmed. EKG helped in the identification and the severity of the illness and the sorological exams defined the infection. Only the clinical board and the epidemiology can't be used for the diagnosis of Dengue. Serology survey is getting more important for these pathologies not being sub notifcated and not treated correctly and conveniently.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Acute Pericarditis and Viral Infection
    AU  - Beatriz Cruz Barcelos
    AU  - Luis Felipe Silveira Santos
    AU  - Nathalia Antônio Monteiro de Castro
    AU  - Ana Paula Silveira Menezes
    AU  - Tufik José Geleilete
    AU  - Reinaldo Bugarelli Bestetti
    AU  - Rosemary Aparecida Furlan Daniel
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    N1  - https://doi.org/10.11648/j.sjcm.20150402.12
    DO  - 10.11648/j.sjcm.20150402.12
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 29
    EP  - 31
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20150402.12
    AB  - Introduction: Hantaviruses is a disease of fever character caused by the virus, RNA from simple tape, of the Bunyaviridae family. Hantaviruses may occur in two clinical types: 1) hemorrhagic fever with renal syndrome in Europe and Asia; 2) cardiopulmonary syndrome by hantaviruses only in Americas. Acute pericarditis is a clinical syndrome with the following characteristics: chest pain, pericardium friction and evolutive alterations of repolarization in the electrocardiogram. The most common etiology is idiopathic and viral. Case report: A man, 38 years old, living at the rural area, with myalgia, arthralgia, fever, loss of appetite, diarrhea, dry cough, chronic headache and retroorbital pain for 5 days. He was diagnosed with classical dengue, so, he received medical treatment with oral hydratation and symptomatical. He went to the Emergency Unit Care - Ribeirão Preto in the 6th day of symptoms, because of the worsening in his clinical condition, with the diagnosis hypothesis of Syndrome of Dengue Shock. Though, serology for dengue was negative. With this result and for the fact that the patient lived in a rural area a survey about the presence of Hantaviruses was made. As the result for the serology had positive for Hantaviruses. With the diagnosis for Cardiopulmonary Syndrome and Pericarditis for Hantaviruses it was made a clinical support to maintain the vital functions, with emphasis in oxygenation and observing the respiratory functions. The patient had satisfactory evolution in the clinical condition. Discussion: Ribeirão Preto is an endemic area for Dengue. Dengue is a fever disease that in its initial phase, has common symptoms with other diseases, like Hantaviruses. This case refers to a patient with clinic and laboratorial exams compatible with Dengue. Though, with the worsening of his symptoms, and the Hypothesis of Shock Syndrome Dengue, treatment began according to the preconizing protocol and the Electrocardiogram identified alterations of repolarization, and the echocardiography was indicated, where the pericardial effusion was evident. Pericarditis was not mentioned as a complication of cardiopulmonary syndrome by hantaviruses. Conclusion: In this report we introduced the case of a patient initially medicated for Dengue and after had Hantaviruses confirmed. EKG helped in the identification and the severity of the illness and the sorological exams defined the infection. Only the clinical board and the epidemiology can't be used for the diagnosis of Dengue. Serology survey is getting more important for these pathologies not being sub notifcated and not treated correctly and conveniently.
    VL  - 4
    IS  - 2
    ER  - 

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