1. Fulminant myocarditis caused by influenza B virus in a male child: a case report and literature review.
- Author
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Tian, Fei, Xiao, Yi, Peng, Zhekang, Zhang, Lingyun, Ni, Fu, Gui, Shengmin, Fan, Yuqing, Xi, Zuyang, and Zhang, Zhaohui
- Subjects
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INFLUENZA B virus , *EXTRACORPOREAL membrane oxygenation , *LITERATURE reviews , *RENAL replacement therapy , *ENTERAL feeding - Abstract
Background: Influenza B virus induced myocarditis is a rare complication with potentially wide variations in severity and clinical presentation, and the pathogenesis is unclear. Case presentation: We describe a rare case of a 7-year-old boy who developed fulminant myocarditis (FM) due to influenza B virus infection. Treatment measures included mechanical ventilation, vasoactive agents, Extracorporeal membrane oxygenation (ECMO), Continuous Renal Replacement Therapy (CRRT), anti-inflammatory, antiviral, anti-infection, and enteral nutrition support. After 10 days of treatment, the patient succumbed to multiorgan failure. Conclusions: After a systematic review of the literature, we found that this disease predominantly affects females, with pediatric cases exceedingly rare. Fulminant myocarditis (FM) progresses rapidly, poses significant treatment challenges sporadic, and carries a poor prognosis. Interestingly, literature reports suggest that anti-thymocyte globulin therapy may have a positive impact in treating FM, potentially offering new insights into its pathogenesis and clinical management. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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