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Acute heart failure associated with human parvovirus B19 infection
Author(s) -
Seishima M.,
Shibuya Y.,
Suzuki S.,
Arakawa C
Publication year - 2008
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1111/j.1365-2230.2008.02713.x
Subject(s) - medicine , hepatosplenomegaly , acute pericarditis , pericardial effusion , heart failure , pericarditis , erythema , erythema infectiosum , ascites , pleural effusion , physical examination , parvovirus , edema , surgery , dermatology , immunology , virus , parvoviridae , disease
Summary We report a patient with acute heart failure due to human parvovirus B19 infection. The patient was a 36‐year‐old man with polyarthralgia, fatigue and swelling of his upper eyelids and all four limbs. These symptoms disappeared, but 5 days after the first consultation, the patient presented with severe exertional dyspnoea, chest pain and swelling of his whole body. Erythema was observed on the skin of hands, fingers and abdomen. Pleural and pericardial effusion, ascites and hepatosplenomegaly were detected. Laboratory examination showed positive results for anti‐human parvovirus B19 IgM and B19 DNA in the serum. A diagnosis of acute heart failure by pericarditis caused by B19 was made. This case report suggests that B19 should be considered as a cause of acute heart failure through acute pericarditis.