Successful Treatment of Novel H1N1 Influenza related Fulminant Myocarditis with Extracorporeal Life Support

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J Cardiothorac Surg. 2011 Dec 20;6(1):164. [Epub ahead of print]
Successful Treatment of Novel H1N1 Influenza related Fulminant Myocarditis with Extracorporeal Life Support.
Mohite P, Popov AF, Bartsch A, Dhar D, Zych B, Moza A, Krueger H, Simon AR.
Abstract

ABSTRACT: The prevalence of myocardial involvement in influenza infection ranges from 0% to 12%. The 2009 pH1N1 influenza virus, formerly known as swine flu, first appeared in Mexico and the United States of America in March and April 2009 and has swept the globe with unprecedented speed. We report a case of fulminant myocarditis associated with this virus treated successfully using extra-corporal membrane oxygenator.

PMID:
22185401
[PubMed - as supplied by publisher]

Free full text

http://www.ncbi.nlm.nih.gov/pubmed/22185401

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Re: Successful Treatment of Novel H1N1 Influenza related Fulminant Myocarditis with Extracorporeal Life Support

Case report
An 18 year old previously fit and well female suffered from lethargy and malaise for six weeks combined with rigors, fever, nausea, vomiting and diarrhea over four days. After collapsing on train, she was admitted to local hospital where she was diagnosed of cardiogenic shock with echocardiogram showing severely impaired left ventricular function with ejection fraction of 20%

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Viral PCR (Polymerase Chain Reaction) test detected Influenza A RNA in nasal and throat secretions of the patient confirming H1N1 Pandemic strain a week after the admission and she was started on OD 5mg Oseltamivir.

http://www.cardiothoracicsurgery.org/content/pdf/1749-8090-6-164.pdf