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IDCases. 2020 Jan 14;19:e00702. doi: 10.1016/j.idcr.2020.e00702. eCollection 2020.

Rhinovirus-associated dilated cardiomyopathy.

IDCases

Jeffrey Chow, Joey Murphy, Ashish Subedi, Amudhan Jyothidasan

Affiliations

  1. Cape Fear Valley Medical Center, Internal Medicine Resident, 1638 Owen Drive, Fayetteville, North Carolina, United States.
  2. University of Campbell, Medical Student, 1 Fort Bragg, Fort Bragg, North Carolina, United States.
  3. Cape Fear Valley Medical Center, Faculty of Medicine, 1638 Owen Drive, Fayetteville, North Carolina, United States.
  4. Cape Fear Cardiology Associates, Cardiologist, 3634 Cape Fear Dr, Fayetteville, North Carolina, United States.

PMID: 32021801 PMCID: PMC6992979 DOI: 10.1016/j.idcr.2020.e00702

Abstract

Rhinovirus is the main cause of the common cold. There is little to no published literature of rhinoviral associated myocarditis. We report a rare case of rhinovirus infection in a patient with myocarditis leading to dilated cardiomyopathy. Infection is an established cause of myocarditis. Prodromal "flu-like" symptoms in a young patient with unexplained heart failure should raise concern for viral myocarditis. Diagnosis is often made by clinical presentation and not by endomyocardial biopsy due to invasiveness. Polymerase chain reaction is a rapid test that supports the diagnosis and may elucidate the role of the virus in myocarditis. Defining causes and mechanisms leading to this severe cardiovascular condition may prove critical to targeted therapy. Physician should be aware that rhinovirus as a possible pathogen for severe myocarditis and dilated cardiomyopathy.

© 2020 The Authors. Published by Elsevier Ltd.

Keywords: Acute decompensated heart failure; Acute myocarditis; Dilated cardiomyopathy; Etiology; Rhinovirus

Conflict of interest statement

All authors have seen and agreed to the submitted version of the paper. The material is original and it has not been published elsewhere nor submitted for publication simultaneously. If accepted, this

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